Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Sanford Bismarck

Sanford Bismarck was paid $43.96M by Medicaid between Jan 2018 and Dec 2024, across 265 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoSANFORD BISMARCK
BISMARCK, ND 58504
33aNPI1811941172assigned 05/20/2006
28Total paid$43.96M
24GClaims737,459
24DCodes billed265
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in North Dakota

Rank by total paid#1 of 9
Median peer was paid$22K
This provider vs. median2,011×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201895,091$4.86M
201986,304$4.86M
202077,090$4.62M
2021119,220$7.82M
2022127,240$7.26M
2023132,155$8.11M
2024incomplete100,359$6.43M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 167,365 150,758 $11.88M
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 20% 80,958 73,066 $8.68M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 12% 27,582 25,925 $5.16M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.6% 22,294 21,044 $2.92M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.9% 27,206 7,146 $1.26M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.2% 7,682 6,943 $981K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.5% 4,519 4,158 $656K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.0% 8,389 4,122 $446K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 5,197 3,566 $438K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 4,466 4,339 $419K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 5,697 2,091 $415K
99222 Initial hospital care, per day, moderate complexity <1% 3,756 3,015 $388K
253 more codes
99203 Doctor's office visit, new patient (routine) <1% 4,536 $385K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 23,864 $373K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 4,008 $360K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 3,889 $329K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 4,046 $318K
99223 Prolong inpt eval add15 m <1% 1,834 $296K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,970 $285K
90472 Immunization administration, each additional vaccine (list separately) <1% 17,098 $264K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,740 $248K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 7,032 $246K
0240U <1% 1,528 $244K
62323 <1% 1,852 $237K
71046 Radiologic examination, chest; 2 views <1% 17,294 $227K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 4,765 $215K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 5,634 $211K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 28,463 $211K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 1,882 $209K
99204 Doctor's office visit, new patient (more involved) <1% 1,665 $207K
80053 Comprehensive metabolic panel <1% 8,599 $183K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 1,509 $182K
70450 Computed tomography, head or brain; without contrast material <1% 5,007 $178K
71045 Radiologic examination, chest; single view <1% 23,757 $177K
99308 Subsequent nursing facility care, per day, straightforward <1% 8,125 $173K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 5,907 $158K
99283 Emergency room visit (moderate) <1% 2,526 $150K
99239 Hospital discharge day management, more than 30 minutes <1% 1,855 $147K
80050 General health panel <1% 1,270 $147K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,185 $138K
76830 Ultrasound, transvaginal <1% 1,823 $137K
76819 Fetal biophysical profile; without non-stress testing <1% 3,170 $121K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 1,317 $119K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 13,384 $116K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,035 $109K
73630 <1% 5,898 $104K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,593 $87K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 1,692 $85K
92567 <1% 6,829 $85K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 329 $80K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,742 $73K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 856 $73K
73564 <1% 2,495 $70K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 711 $69K
80061 Lipid panel <1% 2,730 $69K
73110 <1% 3,052 $66K
74018 <1% 5,440 $63K
73610 <1% 3,142 $61K
20553 <1% 2,449 $61K
73130 <1% 2,985 $60K
84443 Thyroid stimulating hormone (TSH) <1% 1,349 $57K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 792 $54K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,978 $53K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 710 $51K
93304 <1% 1,132 $51K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 970 $49K
90961 <1% 369 $47K
83036 Hemoglobin; glycosylated (A1C) <1% 3,030 $45K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 348 $43K
90792 Psychiatric diagnostic evaluation with medical services <1% 292 $43K
76642 <1% 673 $42K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 131 $40K
87631 <1% 392 $40K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 522 $40K
36415 Collection of venous blood by venipuncture <1% 17,049 $40K
71275 Computed tomographic angiography, chest, with contrast material <1% 468 $40K
99219 <1% 320 $39K
73030 <1% 2,063 $38K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 701 $38K
96133 <1% 117 $36K
90791 Psychiatric diagnostic evaluation <1% 223 $35K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 626 $34K
90378 <1% 31 $33K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 308 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 381 $31K
96132 <1% 257 $30K
81025 <1% 2,985 $30K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 486 $28K
87390 <1% 330 $27K
80048 Basic metabolic panel (calcium, ionized) <1% 1,830 $26K
76536 <1% 341 $25K
81001 <1% 7,244 $25K
73502 <1% 989 $25K
73140 <1% 995 $25K
72100 <1% 1,149 $24K
85027 <1% 3,238 $24K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,847 $21K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 323 $21K
87210 <1% 2,858 $21K
86803 <1% 337 $19K
62370 <1% 523 $19K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 749 $18K
99238 Hospital discharge day management, 30 minutes or less <1% 343 $18K
93325 <1% 2,716 $17K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 219 $17K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 170 $17K
73080 <1% 806 $16K
0002A <1% 428 $16K
99205 Prolong outpt/office vis <1% 75 $15K
90686 <1% 5,945 $14K
99460 <1% 215 $14K
0001A <1% 552 $14K
93320 <1% 801 $13K
99188 <1% 516 $13K
90670 <1% 1,887 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 454 $13K
71250 <1% 186 $13K
93971 <1% 159 $12K
76770 <1% 218 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 123 $12K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 52 $11K
76942 <1% 480 $11K
99480 Subsequent intensive care, per day, low birth weight infant <1% 103 $11K
93321 <1% 1,468 $11K
81003 <1% 4,410 $11K
73562 <1% 577 $10K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 376 $10K
90832 Psychotherapy session, about 30 minutes <1% 175 $10K
87086 Culture, bacterial; quantitative colony count, urine <1% 658 $10K
93970 <1% 57 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 760 $10K
85610 <1% 1,201 $9K
82607 <1% 202 $8K
77066 Tomosynthesis, mammo <1% 75 $8K
J0475 Injection, baclofen, 10 mg <1% 18 $8K
36416 <1% 1,665 $8K
90837 Psychotherapy session, about an hour <1% 68 $8K
96136 <1% 178 $7K
73590 <1% 376 $7K
90474 <1% 468 $7K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 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 <1% 56 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 117 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 117 $6K
92587 <1% 501 $6K
99221 <1% 127 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 177 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 578 $6K
93975 <1% 46 $5K
76825 <1% 54 $5K
87077 <1% 139 $5K
73522 <1% 206 $5K
99305 <1% 91 $5K
0012A <1% 119 $5K
82728 <1% 163 $5K
95874 <1% 182 $5K
31231 <1% 13 $4K
90935 Hemodialysis procedure with single evaluation by a physician <1% 170 $4K
96137 <1% 66 $4K
87522 Neg quan hep c or qual rna <1% 41 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 32 $4K
86140 <1% 828 $4K
0011A <1% 145 $4K
84702 <1% 160 $4K
84153 <1% 56 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 48 $4K
72125 Computed tomography, cervical spine; without contrast material <1% 122 $3K
87070 <1% 87 $3K
76821 <1% 67 $3K
96127 <1% 649 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 711 $3K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 54 $3K
87186 <1% 205 $2K
99310 Prolong nursin fac eval 15m <1% 65 $2K
93000 <1% 181 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 16 $2K
84439 <1% 397 $2K
86780 <1% 238 $2K
72040 <1% 120 $2K
90962 <1% 29 $2K
90671 <1% 871 $2K
76827 <1% 76 $2K
43235 <1% 14 $2K
87634 <1% 29 $2K
90656 <1% 648 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 36 $2K
82043 <1% 314 $2K
71271 <1% 14 $2K
77065 Tomosynthesis, mammo <1% 15 $2K
96139 <1% 28 $2K
83550 <1% 162 $2K
96138 <1% 45 $1K
86850 <1% 27 $1K
83540 <1% 165 $1K
82570 <1% 381 $1K
97597 <1% 15 $1K
73090 <1% 70 $1K
87340 <1% 141 $1K
83970 <1% 15 $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) <1% 12 $912.31
20610 <1% 12 $899.98
80074 <1% 12 $857.40
82274 <1% 13 $855.02
80076 <1% 74 $847.67
90480 <1% 25 $829.61
99217 <1% 22 $805.96
D1206 Topical application of fluoride varnish <1% 35 $774.60
73000 <1% 35 $745.38
99307 <1% 36 $658.38
85652 <1% 377 $652.16
11721 <1% 30 $622.99
83735 <1% 78 $558.35
76882 <1% 22 $525.57
Q3014 Telehealth originating site facility fee <1% 127 $523.56
0031A <1% 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) <1% 12 $449.04
71101 <1% 16 $442.24
99442 <1% 16 $427.89
82565 <1% 61 $411.65
74022 <1% 14 $337.38
93227 <1% 28 $312.12
85007 <1% 103 $309.70
94060 <1% 12 $283.51
90473 <1% 15 $281.62
83690 <1% 42 $277.64
80069 <1% 20 $260.40
92558 <1% 33 $242.61
94010 <1% 25 $234.52
86038 <1% 26 $204.06
0072A <1% 12 $198.24
0071A <1% 13 $181.72
G0127 Trimming of dystrophic nails, any number <1% 13 $162.32
99177 <1% 33 $134.95
90685 <1% 189 $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 <1% 246 $105.80
84156 <1% 18 $99.18
85018 <1% 45 $96.92
86431 <1% 16 $74.58
82247 <1% 18 $67.77
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 67 $64.46
82550 <1% 34 $61.16
85730 <1% 12 $60.94
94729 <1% 13 $32.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 26 $15.12
87205 <1% 83 $14.57
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 2,694 $0.00
90633 0% 157 $0.00
90672 0% 15 $0.00
91300 0% 1,166 $0.00
90715 0% 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) 0% 28 $0.00
90697 0% 351 $0.00
86702 0% 332 $0.00
86701 0% 330 $0.00
90698 0% 1,502 $0.00
90680 0% 523 $0.00
91301 0% 298 $0.00
90651 0% 67 $0.00
90619 0% 72 $0.00
90744 0% 92 $0.00
90688 0% 12 $0.00
91307 0% 38 $0.00
90674 0% 12 $0.00
91303 0% 13 $0.00
90381 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 (VP, CHIEF REVENUE CYCLE OFFICER)
Same official

Other billing entities under MORRISON, TONY

Full network →
ProviderLocationPaid
Sanford Medical Center FargoFargo, ND$50.18M
Sanford Health of Northern MinnesotaBemidji, MN$47.45M
Sanford Health of Northern MinnesotaBemidji, MN$27.11M
Sanford Medical CenterSioux Falls, SD$24.40M
FM Ambulance Service, INCFargo, ND$23.80M
Sanford Medical CenterSioux Falls, SD$18.03M
Sanford Health NetworkWorthington, MN$7.58M
Sanford ClinicSioux Falls, SD$6.04M
Sanford ClinicSioux Falls, SD$5.45M
Sanford Healthcare Accessories, LLCFargo, ND$4.79M
Sanford Health Network NorthThief River Falls, MN$3.28M
Sanford ClinicSioux Falls, SD$2.96M
Sanford Health NetworkJackson, MN$2.81M
Sanford ClinicWatertown, SD$2.02M
Black Hills Orthopedic & Spine Center, INC.Rapid City, SD$1.71M
Sanford Health NetworkChamberlain, SD$1.47M
Sanford Health NetworkVermillion, SD$1.31M
Sanford Health NetworkLuverne, MN$1.27M
Sanford Medical Center FargoPelican Rapids, MN$1.01M
Sanford Medical Center FargoMahnomen, MN$994K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.