Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SANFORD HEALTH OF NORTHERN MINNESOTA

NPI: 1780628149 · BEMIDJI, MN 56601 · Orthopaedic Surgery Physician · NPI assigned 06/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MORRISON, TONY controls 20+ related entities in our dataset. Read more

$27.11M
Total Medicaid Paid
727,325
Total Claims
629,713
Beneficiaries
232
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
NPI Enumeration Date06/16/2006

Related Entities

Other providers sharing the same authorized official: MORRISON, TONY

ProviderCityStateTotal Paid
SANFORD MEDICAL CENTER FARGO FARGO ND $50.18M
SANFORD HEALTH OF NORTHERN MINNESOTA BEMIDJI MN $47.45M
SANFORD BISMARCK BISMARCK ND $43.96M
SANFORD MEDICAL CENTER SIOUX FALLS SD $24.40M
FM AMBULANCE SERVICE, INC FARGO ND $23.80M
SANFORD MEDICAL CENTER SIOUX FALLS SD $18.03M
SANFORD HEALTH NETWORK WORTHINGTON MN $7.58M
SANFORD CLINIC SIOUX FALLS SD $6.04M
SANFORD CLINIC SIOUX FALLS SD $5.45M
SANFORD HEALTHCARE ACCESSORIES, LLC FARGO ND $4.79M
SANFORD HEALTH NETWORK NORTH THIEF RIVER FALLS MN $3.28M
SANFORD CLINIC SIOUX FALLS SD $2.96M
SANFORD HEALTH NETWORK JACKSON MN $2.81M
SANFORD CLINIC WATERTOWN SD $2.02M
BLACK HILLS ORTHOPEDIC & SPINE CENTER, INC. RAPID CITY SD $1.71M
SANFORD HEALTH NETWORK CHAMBERLAIN SD $1.47M
SANFORD HEALTH NETWORK VERMILLION SD $1.31M
SANFORD HEALTH NETWORK LUVERNE MN $1.27M
SANFORD MEDICAL CENTER FARGO PELICAN RAPIDS MN $1.01M
SANFORD MEDICAL CENTER FARGO MAHNOMEN MN $994K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 112,990 $1.67M
2019 117,677 $4.60M
2020 93,272 $3.54M
2021 114,962 $4.91M
2022 112,749 $4.98M
2023 104,319 $4.16M
2024 71,356 $3.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 161,219 141,328 $5.33M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 95,145 84,757 $4.52M
99284 Emergency department visit for the evaluation and management, high severity 33,261 30,106 $2.12M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 23,859 21,794 $2.12M
90837 Psychotherapy, 53 minutes with patient 13,616 8,040 $1.22M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19,382 19,065 $988K
99232 Subsequent hospital care, per day, moderate complexity 26,841 7,451 $772K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 10,231 9,903 $682K
99215 Prolong outpt/office vis 8,864 8,382 $553K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,469 7,122 $494K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,430 10,875 $477K
H0040 Assertive community treatment program, per diem 5,399 421 $428K
90460 Immunization administration through 18 years of age via any route, first or only component 13,591 13,077 $416K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 406 399 $412K
99283 Emergency department visit for the evaluation and management, moderate severity 11,202 10,499 $386K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,636 8,935 $374K
92015 Determination of refractive state 31,642 30,906 $365K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,657 7,511 $358K
99223 Prolong inpt eval add15 m 3,838 3,302 $297K
90834 Psychotherapy, 45 minutes with patient 3,529 2,498 $214K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3,458 3,270 $200K
X5622 2,252 2,020 $197K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,081 3,926 $189K
99239 Hospital discharge day management, more than 30 minutes 4,245 4,020 $189K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,675 3,818 $177K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,690 3,644 $174K
99222 Initial hospital care, per day, moderate complexity 2,879 2,421 $153K
99238 Hospital discharge day management, 30 minutes or less 3,135 2,996 $120K
90792 Psychiatric diagnostic evaluation with medical services 741 726 $118K
H2017 Psychosocial rehabilitation services, per 15 minutes 1,596 408 $118K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,710 3,614 $117K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,627 6,289 $102K
90791 Psychiatric diagnostic evaluation 840 816 $99K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 26,709 20,897 $98K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 8,198 7,794 $95K
90847 Family psychotherapy with the patient present, 50 minutes 1,041 815 $94K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,663 1,630 $92K
H2011 Crisis intervention service, per 15 minutes 631 486 $90K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,076 2,976 $80K
99460 1,384 1,345 $76K
67028 Intravitreal injection of a pharmacologic agent 1,572 1,514 $74K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,161 1,143 $64K
70450 Computed tomography, head or brain; without contrast material 3,289 3,094 $61K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,019 1,609 $61K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 518 461 $60K
71045 Radiologic examination, chest; single view 14,838 12,365 $59K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 962 940 $59K
88307 851 779 $58K
77067 Screening mammography, bilateral, including computer-aided detection 3,025 2,996 $55K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,118 1,924 $54K
H2014 Skills training and development, per 15 minutes 1,083 485 $53K
99233 Prolong inpt eval add15 m 1,136 569 $50K
90832 Psychotherapy, 30 minutes with patient 1,035 753 $48K
99205 Prolong outpt/office vis 536 512 $47K
92551 6,025 5,879 $44K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,353 1,255 $44K
99221 1,049 880 $43K
77063 Screening digital breast tomosynthesis, bilateral 2,816 2,785 $41K
20611 1,133 1,050 $38K
74176 Computed tomography, abdomen and pelvis; without contrast material 931 891 $36K
92340 Fitting of spectacles, except for aphakia; monofocal 1,303 1,293 $32K
71046 Radiologic examination, chest; 2 views 5,993 5,735 $31K
99217 900 877 $30K
92134 2,761 2,657 $30K
76801 999 945 $28K
99220 323 313 $28K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 576 560 $27K
17110 920 869 $27K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,020 703 $26K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,684 1,638 $26K
71275 Computed tomographic angiography, chest, with contrast material 554 540 $24K
99308 Subsequent nursing facility care, per day, straightforward 1,103 1,041 $24K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,271 1,232 $24K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,032 906 $22K
76830 Ultrasound, transvaginal 1,187 1,157 $22K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 715 709 $21K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 585 548 $21K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 333 321 $17K
99225 456 258 $17K
99480 Subsequent intensive care, per day, low birth weight infant 210 37 $16K
20610 881 827 $15K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 768 524 $15K
99219 213 205 $14K
99188 2,294 2,243 $14K
59025 Fetal non-stress test 841 542 $14K
73630 3,267 2,877 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,938 1,888 $14K
73610 2,671 2,316 $12K
96161 1,394 1,302 $12K
99462 463 293 $12K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 361 357 $11K
73110 2,291 1,825 $10K
H0046 Mental health services, not otherwise specified 1,087 540 $10K
73130 2,032 1,680 $10K
92060 511 487 $9K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 40 28 $9K
59410 14 14 $9K
73562 1,873 1,635 $9K
76819 Fetal biophysical profile; without non-stress testing 385 257 $8K
V2784 Lens, polycarbonate or equal, any index, per lens 186 172 $8K
99495 134 131 $8K
99417 Prolong home eval add 15m 141 138 $8K
V2020 Frames, purchases 230 213 $8K
73030 1,637 1,460 $7K
71250 342 340 $7K
93298 270 267 $7K
99254 72 69 $7K
99310 Prolong nursin fac eval 15m 176 130 $7K
V5266 Battery for use in hearing device 305 303 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 111 109 $6K
90785 702 386 $6K
71260 Computed tomography, thorax, diagnostic; with contrast material 186 184 $5K
93294 343 338 $5K
92587 473 447 $5K
92341 200 200 $5K
88304 503 482 $5K
93971 490 475 $5K
72125 Computed tomography, cervical spine; without contrast material 211 206 $5K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 86 85 $5K
73502 942 878 $5K
11102 264 263 $5K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 30 30 $4K
00731 37 37 $4K
73140 980 821 $4K
98940 309 224 $4K
93016 482 474 $4K
90961 28 28 $3K
93975 77 74 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 44 41 $3K
73080 543 452 $3K
99442 88 84 $3K
36415 Collection of venous blood by venipuncture 346 318 $3K
93018 487 479 $2K
99443 38 37 $2K
90846 Family psychotherapy without the patient present, 50 minutes 51 26 $2K
92083 177 170 $2K
42820 Tonsillectomy and adenoidectomy; younger than age 12 12 12 $2K
99152 513 473 $2K
76770 108 108 $2K
93970 112 109 $2K
92133 226 222 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 28 28 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 85 82 $2K
99381 43 42 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 12 12 $2K
73221 46 44 $2K
73560 404 325 $2K
93308 121 120 $2K
99496 28 28 $2K
99173 1,598 1,543 $2K
93244 109 108 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 45 45 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 86 85 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 92 89 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 92 90 $1K
74018 404 359 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 40 39 $1K
12001 51 51 $1K
77080 257 250 $1K
70551 Magnetic resonance imaging, brain; without contrast material 38 37 $1K
99383 29 28 $1K
43235 14 12 $1K
76642 53 53 $996.71
99441 56 56 $978.69
93321 243 235 $971.29
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12 12 $892.71
73590 231 185 $874.71
27096 12 12 $807.71
11900 46 40 $777.78
90671 1,116 1,042 $757.41
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12 12 $731.39
90686 2,337 2,296 $720.65
92136 55 53 $674.07
V5020 Conformity evaluation 51 37 $672.04
92558 102 102 $605.08
93325 310 297 $587.61
99406 92 91 $543.91
73090 91 79 $504.05
0124A 26 26 $460.56
0298T 42 42 $452.88
90461 5,008 4,797 $443.29
88342 18 17 $399.38
58300 24 24 $387.04
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 17 12 $369.37
70486 25 25 $320.87
92002 15 15 $311.74
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 87 85 $310.48
17000 13 13 $307.33
92593 13 13 $306.36
95251 15 15 $304.68
90651 292 292 $292.22
72100 52 52 $273.57
76942 13 13 $246.17
90670 3,806 3,750 $237.04
93922 44 42 $232.54
88300 58 54 $212.88
93248 12 12 $198.08
88302 25 25 $166.49
93925 12 12 $162.41
96127 36 36 $126.97
93280 12 12 $117.23
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 25 25 $81.00
90715 121 121 $78.03
11100 89 81 $77.39
90680 2,970 2,905 $71.63
90723 2,790 2,760 $69.60
54150 53 52 $67.76
72170 12 12 $57.18
0054A 17 16 $39.20
0064A 17 17 $37.64
90647 2,709 2,683 $28.40
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 35 31 $28.08
90656 85 84 $22.03
90633 1,598 1,592 $0.00
90734 230 230 $0.00
90710 903 899 $0.00
90700 574 573 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,339 3,010 $0.00
90707 178 178 $0.00
90685 361 360 $0.00
92557 46 44 $0.00
90473 13 13 $0.00
98968 61 47 $0.00
99201 14 12 $0.00
10060 13 13 $0.00
90696 252 252 $0.00
90716 193 193 $0.00
90697 172 159 $0.00
92567 65 64 $0.00
92310 14 13 $0.00
90619 19 19 $0.00
93458 12 12 $0.00