Physician
Sanford Clinic
Sanford Clinic was paid $2.02M by Medicaid between Jan 2018 and Feb 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoSANFORD CLINIC
WATERTOWN, SD 57201
WATERTOWN, SD 57201
33aNPI1801840632assigned 05/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.02M
24GClaims62,353
24DCodes billed63
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Family Medicine Physician providers in South Dakota
Rank by total paid#6 of 40
Median peer was paid$144K
This provider vs. median14×
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 | 15,681 | $433K | |
| 2019 | 14,334 | $423K | |
| 2020 | 8,812 | $284K | |
| 2021 | 14,381 | $506K | |
| 2022 | 8,513 | $330K | |
| 2023 | 563 | $45K | |
| 2024incomplete | 69 | $207.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 18,926 | 15,743 | $744K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.5% | 2,993 | 2,734 | $192K |
| 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 | 9.1% | 3,758 | 3,439 | $184K |
| W0037 | 8.4% | 2,470 | 2,470 | $170K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 2,579 | 2,558 | $166K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.8% | 3,152 | 3,122 | $138K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 1,602 | 1,584 | $104K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 827 | 764 | $53K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 3,400 | 3,288 | $32K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,154 | 1,042 | $31K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.3% | 637 | 581 | $26K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.2% | 1,160 | 387 | $25K |
51 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 367 | $24K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 1,218 | $22K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 288 | $17K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 983 | $15K |
| 99460 | <1% | 154 | $12K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 296 | $11K |
| 90715 | <1% | 592 | $10K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 184 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,011 | $9K |
| 90686 | <1% | 2,620 | $6K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 54 | $4K |
| 99188 | <1% | 82 | $2K | |
| 90670 | <1% | 2,212 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 250 | $2K |
| 99381 | <1% | 15 | $2K | |
| 90474 | <1% | 150 | $1K | |
| 0011A | <1% | 38 | $1K | |
| 0012A | <1% | 33 | $1K | |
| 99462 | <1% | 39 | $1K | |
| 0071A | <1% | 21 | $793.40 | |
| 90651 | <1% | 298 | $791.11 | |
| 0072A | <1% | 19 | $753.73 | |
| 74018 | <1% | 42 | $644.97 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 13 | $610.86 |
| 0001A | <1% | 20 | $515.71 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 49 | $443.35 |
| 97161 | <1% | 14 | $442.74 | |
| 0064A | <1% | 16 | $388.76 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 16 | $299.11 |
| 74019 | <1% | 19 | $233.34 | |
| 90716 | <1% | 549 | $122.71 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13 | $88.25 |
| 90707 | <1% | 552 | $67.37 | |
| 90633 | <1% | 1,249 | $61.56 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 28 | $45.48 |
| 90672 | <1% | 13 | $24.67 | |
| 90685 | <1% | 74 | $23.64 | |
| 90698 | 0% | 1,635 | $0.00 | |
| 90680 | 0% | 1,542 | $0.00 | |
| 90744 | 0% | 1,118 | $0.00 | |
| 90696 | 0% | 238 | $0.00 | |
| 91307 | 0% | 42 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 73 | $0.00 |
| 91301 | 0% | 101 | $0.00 | |
| 90710 | 0% | 177 | $0.00 | |
| 90734 | 0% | 185 | $0.00 | |
| 90461 | 0% | 552 | $0.00 | |
| 90662 | 0% | 15 | $0.00 | |
| 90648 | 0% | 193 | $0.00 | |
| 90700 | 0% | 196 | $0.00 | |
| 91300 | 0% | 37 | $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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.