Hospital
Sanford Health Network
Sanford Health Network was paid $276K by Medicaid between Jan 2018 and Jun 2024, across 22 billing codes. Its largest line is J3490, Unclassified drugs — 36% of everything it billed.
33Billing provider infoSANFORD HEALTH NETWORK
VERMILLION, SD 57069
VERMILLION, SD 57069
33aNPI1790721280assigned 06/22/2006
33bProvider typeCritical Access Hospital
28Total paid$276K
24GClaims7,315
24DCodes billed22
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Critical Access Hospital providers in South Dakota
Rank by total paid#8 of 22
Median peer was paid$53K
This provider vs. median5.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MORRISON, TONY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,293 | $121K | |
| 2019 | 277 | $18K | |
| 2020 | 1,625 | $18K | |
| 2021 | 656 | $22K | |
| 2022 | 1,010 | $33K | |
| 2023 | 1,216 | $58K | |
| 2024incomplete | 238 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J3490 | Unclassified drugs | 36% | 387 | 218 | $99K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 2,124 | 635 | $43K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 986 | 229 | $41K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 753 | 105 | $32K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.8% | 1,015 | 200 | $19K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.5% | 353 | 241 | $15K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.2% | 110 | 101 | $9K |
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 2.2% | 771 | 13 | $6K |
| 87081 | 1.1% | 60 | 55 | $3K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 15 | 15 | $2K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 154 | 61 | $1K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 14 | 13 | $1K |
10 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 54 | $924.05 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 179 | $744.38 |
| G0008 | Administration of influenza virus vaccine | <1% | 81 | $524.60 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $493.90 |
| 80053 | Comprehensive metabolic panel | <1% | 58 | $469.17 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 87 | $358.34 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 65 | $354.54 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 12 | $255.77 |
| 90863 | <1% | 13 | $227.04 | |
| 86140 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
| Provider | Location | 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 Health of Northern Minnesota | Bemidji, MN | $27.11M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.