Clinic
Sanford Health Network
Sanford Health Network was paid $6.56M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoSANFORD HEALTH NETWORK
SHELDON, IA 51201
SHELDON, IA 51201
33aNPI1831281047assigned 09/28/2006
33bProvider typeRural Health Clinic/Center
28Total paid$6.56M
24GClaims122,606
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#9 of 182
Median peer was paid$561K
This provider vs. median12×
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 | 16,670 | $823K | |
| 2019 | 17,869 | $833K | |
| 2020 | 15,527 | $738K | |
| 2021 | 17,229 | $901K | |
| 2022 | 18,251 | $1.01M | |
| 2023 | 20,331 | $1.17M | |
| 2024incomplete | 16,729 | $1.09M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 53,841 | 39,888 | $6.41M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.0% | 1,814 | 1,693 | $130K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 5,661 | 3,372 | $14K |
| 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 | <1% | 9,305 | 8,507 | $6K |
| 90686 | <1% | 2,420 | 2,331 | $3K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 12 | 12 | $1K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 24 | 24 | $1K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 29 | 29 | $884.38 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 23,388 | 19,681 | $820.83 |
| 90680 | <1% | 798 | 696 | $695.35 | |
| 90670 | <1% | 707 | 689 | $556.28 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 31 | 29 | $477.12 |
45 more codes
| 0011A | <1% | 14 | $237.67 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,138 | $195.07 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,368 | $139.07 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 509 | $1.62 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 520 | $0.00 |
| 90621 | 0% | 47 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,981 | $0.00 |
| 99173 | 0% | 119 | $0.00 | |
| 99188 | 0% | 140 | $0.00 | |
| 90461 | 0% | 1,108 | $0.00 | |
| 90633 | 0% | 522 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 911 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 2,208 | $0.00 |
| 81025 | 0% | 127 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 157 | $0.00 |
| 90707 | 0% | 63 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,052 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 222 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 670 | $0.00 |
| 81003 | 0% | 154 | $0.00 | |
| 90715 | 0% | 376 | $0.00 | |
| 90671 | 0% | 524 | $0.00 | |
| 90681 | 0% | 44 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 50 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 164 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 444 | $0.00 |
| 90710 | 0% | 36 | $0.00 | |
| 90685 | 0% | 13 | $0.00 | |
| 90734 | 0% | 44 | $0.00 | |
| 90698 | 0% | 1,168 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 353 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,932 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 255 | $0.00 |
| 90651 | 0% | 421 | $0.00 | |
| 90744 | 0% | 281 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 16 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 14 | $0.00 |
| 90697 | 0% | 197 | $0.00 | |
| 90716 | 0% | 76 | $0.00 | |
| 91301 | 0% | 14 | $0.00 | |
| 90619 | 0% | 43 | $0.00 | |
| 90696 | 0% | 32 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 17 | $0.00 |
| 96127 | 0% | 18 | $0.00 | |
| 90739 | 0% | 14 | $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.