Medicaid Provider Spending

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

NPI: 1811941172 · BISMARCK, ND 58504 · Ambulatory Surgical Clinic/Center · NPI assigned 05/20/2006

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

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

$43.96M
Total Medicaid Paid
737,459
Total Claims
615,178
Beneficiaries
265
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VP, CHIEF REVENUE CYCLE OFFICER)
NPI Enumeration Date05/20/2006

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 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
SANFORD MEDICAL CENTER FARGO MAHNOMEN MN $994K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 95,091 $4.86M
2019 86,304 $4.86M
2020 77,090 $4.62M
2021 119,220 $7.82M
2022 127,240 $7.26M
2023 132,155 $8.11M
2024 100,359 $6.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 167,365 150,758 $11.88M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80,958 73,066 $8.68M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 27,582 25,925 $5.16M
99284 Emergency department visit for the evaluation and management, high severity 22,294 21,044 $2.92M
99232 Subsequent hospital care, per day, moderate complexity 27,206 7,146 $1.26M
74177 Computed tomography, abdomen and pelvis; with contrast material 7,682 6,943 $981K
99215 Prolong outpt/office vis 4,519 4,158 $656K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,389 4,122 $446K
90834 Psychotherapy, 45 minutes with patient 5,197 3,566 $438K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,466 4,339 $419K
99233 Prolong inpt eval add15 m 5,697 2,091 $415K
99222 Initial hospital care, per day, moderate complexity 3,756 3,015 $388K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,536 4,120 $385K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 23,864 23,020 $373K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,008 3,684 $360K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,889 1,962 $329K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,046 3,733 $318K
99223 Prolong inpt eval add15 m 1,834 1,598 $296K
77067 Screening mammography, bilateral, including computer-aided detection 2,970 2,394 $285K
90472 Immunization administration, each additional vaccine (list separately) 17,098 9,343 $264K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,740 1,670 $248K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 7,032 6,518 $246K
0240U 1,528 1,491 $244K
62323 1,852 1,740 $237K
71046 Radiologic examination, chest; 2 views 17,294 15,672 $227K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4,765 2,608 $215K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,634 4,971 $211K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 28,463 24,798 $211K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,882 1,683 $209K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,665 1,486 $207K
80053 Comprehensive metabolic panel 8,599 7,621 $183K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 1,509 1,435 $182K
70450 Computed tomography, head or brain; without contrast material 5,007 4,486 $178K
71045 Radiologic examination, chest; single view 23,757 16,623 $177K
99308 Subsequent nursing facility care, per day, straightforward 8,125 4,891 $173K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,907 4,532 $158K
99283 Emergency department visit for the evaluation and management, moderate severity 2,526 2,343 $150K
99239 Hospital discharge day management, more than 30 minutes 1,855 1,577 $147K
80050 General health panel 1,270 1,193 $147K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,185 2,963 $138K
76830 Ultrasound, transvaginal 1,823 1,505 $137K
76819 Fetal biophysical profile; without non-stress testing 3,170 823 $121K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,317 1,178 $119K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,384 11,732 $116K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,035 889 $109K
73630 5,898 4,497 $104K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,593 1,455 $87K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,692 1,553 $85K
92567 6,829 6,299 $85K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 329 177 $80K
77063 Screening digital breast tomosynthesis, bilateral 2,742 2,197 $73K
74176 Computed tomography, abdomen and pelvis; without contrast material 856 773 $73K
73564 2,495 1,901 $70K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 711 690 $69K
80061 Lipid panel 2,730 2,578 $69K
73110 3,052 2,343 $66K
74018 5,440 3,886 $63K
73610 3,142 2,619 $61K
20553 2,449 2,253 $61K
73130 2,985 2,161 $60K
84443 Thyroid stimulating hormone (TSH) 1,349 1,284 $57K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 792 469 $54K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,978 2,531 $53K
71260 Computed tomography, thorax, diagnostic; with contrast material 710 594 $51K
93304 1,132 557 $51K
76705 Ultrasound, abdominal, real time with image documentation; limited 970 827 $49K
90961 369 349 $47K
83036 Hemoglobin; glycosylated (A1C) 3,030 2,868 $45K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 348 309 $43K
90792 Psychiatric diagnostic evaluation with medical services 292 260 $43K
76642 673 495 $42K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 131 124 $40K
87631 392 294 $40K
76700 Ultrasound, abdominal, real time with image documentation; complete 522 452 $40K
36415 Collection of venous blood by venipuncture 17,049 14,883 $40K
71275 Computed tomographic angiography, chest, with contrast material 468 418 $40K
99219 320 294 $39K
73030 2,063 1,710 $38K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 701 676 $38K
96133 117 115 $36K
90791 Psychiatric diagnostic evaluation 223 215 $35K
88305 Level IV - Surgical pathology, gross and microscopic examination 626 345 $34K
90378 31 13 $33K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 308 272 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 381 338 $31K
96132 257 241 $30K
81025 2,985 2,752 $30K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 486 232 $28K
87390 330 325 $27K
80048 Basic metabolic panel (calcium, ionized) 1,830 1,594 $26K
76536 341 268 $25K
81001 7,244 6,481 $25K
73502 989 867 $25K
73140 995 748 $25K
72100 1,149 1,002 $24K
85027 3,238 2,998 $24K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,847 2,343 $21K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 323 317 $21K
87210 2,858 2,651 $21K
86803 337 312 $19K
62370 523 493 $19K
99231 Subsequent hospital care, per day, straightforward or low complexity 749 308 $18K
99238 Hospital discharge day management, 30 minutes or less 343 317 $18K
93325 2,716 1,428 $17K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 219 206 $17K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 170 161 $17K
73080 806 608 $16K
0002A 428 425 $16K
99205 Prolong outpt/office vis 75 68 $15K
90686 5,945 5,773 $14K
99460 215 203 $14K
0001A 552 546 $14K
93320 801 474 $13K
99188 516 504 $13K
90670 1,887 1,833 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 454 443 $13K
71250 186 151 $13K
93971 159 128 $12K
76770 218 176 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 123 118 $12K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 52 50 $11K
76942 480 438 $11K
99480 Subsequent intensive care, per day, low birth weight infant 103 25 $11K
93321 1,468 733 $11K
81003 4,410 4,145 $11K
73562 577 475 $10K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 376 272 $10K
90832 Psychotherapy, 30 minutes with patient 175 158 $10K
87086 Culture, bacterial; quantitative colony count, urine 658 615 $10K
93970 57 45 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 760 659 $10K
85610 1,201 682 $9K
82607 202 193 $8K
77066 Tomosynthesis, mammo 75 54 $8K
J0475 Injection, baclofen, 10 mg 18 14 $8K
36416 1,665 1,282 $8K
90837 Psychotherapy, 53 minutes with patient 68 51 $8K
96136 178 175 $7K
73590 376 253 $7K
90474 468 445 $7K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 40 40 $7K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 56 54 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 117 113 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 117 113 $6K
92587 501 306 $6K
99221 127 78 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 177 153 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 578 459 $6K
93975 46 39 $5K
76825 54 26 $5K
87077 139 128 $5K
73522 206 172 $5K
99305 91 84 $5K
0012A 119 119 $5K
82728 163 151 $5K
95874 182 152 $5K
31231 13 13 $4K
90935 Hemodialysis procedure with single evaluation by a physician 170 68 $4K
96137 66 65 $4K
87522 Neg quan hep c or qual rna 41 39 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 32 31 $4K
86140 828 756 $4K
0011A 145 142 $4K
84702 160 129 $4K
84153 56 55 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 48 41 $4K
72125 Computed tomography, cervical spine; without contrast material 122 109 $3K
87070 87 84 $3K
76821 67 14 $3K
96127 649 635 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 711 656 $3K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 54 52 $3K
87186 205 191 $2K
99310 Prolong nursin fac eval 15m 65 58 $2K
93000 181 174 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 16 13 $2K
84439 397 377 $2K
86780 238 220 $2K
72040 120 92 $2K
90962 29 28 $2K
90671 871 813 $2K
76827 76 38 $2K
43235 14 13 $2K
87634 29 29 $2K
90656 648 643 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 36 29 $2K
82043 314 312 $2K
71271 14 13 $2K
77065 Tomosynthesis, mammo 15 12 $2K
96139 28 27 $2K
83550 162 152 $2K
96138 45 43 $1K
86850 27 27 $1K
83540 165 155 $1K
82570 381 369 $1K
97597 15 12 $1K
73090 70 52 $1K
87340 141 131 $1K
83970 15 14 $928.80
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 12 12 $912.31
20610 12 12 $899.98
80074 12 12 $857.40
82274 13 13 $855.02
80076 74 55 $847.67
90480 25 25 $829.61
99217 22 14 $805.96
D1206 Topical application of fluoride varnish 35 33 $774.60
73000 35 26 $745.38
99307 36 28 $658.38
85652 377 346 $652.16
11721 30 30 $622.99
83735 78 65 $558.35
76882 22 18 $525.57
Q3014 Telehealth originating site facility fee 127 119 $523.56
0031A 12 12 $483.21
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 12 12 $449.04
71101 16 12 $442.24
99442 16 14 $427.89
82565 61 58 $411.65
74022 14 12 $337.38
93227 28 24 $312.12
85007 103 91 $309.70
94060 12 12 $283.51
90473 15 15 $281.62
83690 42 37 $277.64
80069 20 17 $260.40
92558 33 28 $242.61
94010 25 13 $234.52
86038 26 25 $204.06
0072A 12 12 $198.24
0071A 13 13 $181.72
G0127 Trimming of dystrophic nails, any number 13 13 $162.32
99177 33 33 $134.95
90685 189 183 $109.05
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 246 199 $105.80
84156 18 16 $99.18
85018 45 42 $96.92
86431 16 14 $74.58
82247 18 12 $67.77
J1885 Injection, ketorolac tromethamine, per 15 mg 67 62 $64.46
82550 34 28 $61.16
85730 12 12 $60.94
94729 13 13 $32.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg 26 26 $15.12
87205 83 80 $14.57
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,694 2,528 $0.00
90633 157 155 $0.00
90672 15 15 $0.00
91300 1,166 1,042 $0.00
90715 24 24 $0.00
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) 28 27 $0.00
90697 351 324 $0.00
86702 332 326 $0.00
86701 330 325 $0.00
90698 1,502 1,468 $0.00
90680 523 496 $0.00
91301 298 293 $0.00
90651 67 66 $0.00
90619 72 71 $0.00
90744 92 87 $0.00
90688 12 12 $0.00
91307 38 34 $0.00
90674 12 12 $0.00
91303 13 13 $0.00
90381 12 12 $0.00