Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SANFORD CLINIC

NPI: 1801840632 · WATERTOWN, SD 57201 · Family Medicine Physician · NPI assigned 05/19/2006

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

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

$2.02M
Total Medicaid Paid
62,353
Total Claims
56,728
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
NPI Enumeration Date05/19/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,681 $433K
2019 14,334 $423K
2020 8,812 $284K
2021 14,381 $506K
2022 8,513 $330K
2023 563 $45K
2024 69 $207.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,926 15,743 $744K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,993 2,734 $192K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,758 3,439 $184K
W0037 2,470 2,470 $170K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,579 2,558 $166K
90460 Immunization administration through 18 years of age via any route, first or only component 3,152 3,122 $138K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,602 1,584 $104K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 827 764 $53K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,400 3,288 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,154 1,042 $31K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 637 581 $26K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,160 387 $25K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 367 357 $24K
90472 Immunization administration, each additional vaccine (list separately) 1,218 1,183 $22K
99238 Hospital discharge day management, 30 minutes or less 288 273 $17K
71046 Radiologic examination, chest; 2 views 983 887 $15K
99460 154 148 $12K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 296 282 $11K
90715 592 573 $10K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 184 168 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,011 774 $9K
90686 2,620 2,594 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 54 52 $4K
99188 82 81 $2K
90670 2,212 2,186 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 250 248 $2K
99381 15 15 $2K
90474 150 145 $1K
0011A 38 38 $1K
0012A 33 33 $1K
99462 39 24 $1K
0071A 21 21 $793.40
90651 298 294 $791.11
0072A 19 19 $753.73
74018 42 39 $644.97
J1050 Injection, medroxyprogesterone acetate, 1 mg 13 12 $610.86
0001A 20 13 $515.71
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 49 43 $443.35
97161 14 14 $442.74
0064A 16 15 $388.76
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 16 13 $299.11
74019 19 16 $233.34
90716 549 544 $122.71
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 13 13 $88.25
90707 552 545 $67.37
90633 1,249 1,235 $61.56
36415 Collection of venous blood by venipuncture 28 24 $45.48
90672 13 13 $24.67
90685 74 74 $23.64
90698 1,635 1,614 $0.00
90680 1,542 1,523 $0.00
90744 1,118 1,104 $0.00
90696 238 234 $0.00
91307 42 42 $0.00
G0008 Administration of influenza virus vaccine 73 73 $0.00
91301 101 100 $0.00
90710 177 172 $0.00
90734 185 184 $0.00
90461 552 545 $0.00
90662 15 15 $0.00
90648 193 192 $0.00
90700 196 193 $0.00
91300 37 17 $0.00