Hospital
Sanford Health Network
Sanford Health Network was paid $726K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99284, emergency room visit (serious) — 49% of everything it billed.
33Billing provider infoSANFORD HEALTH NETWORK
SHELDON, IA 51201
SHELDON, IA 51201
33aNPI1841200623assigned 08/08/2006
33bProvider typeCritical Access Hospital
28Total paid$726K
24GClaims10,906
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Iowa
Rank by total paid#43 of 79
Median peer was paid$801K
This provider vs. median0.9×
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 | 1,905 | $117K | |
| 2019 | 1,291 | $61K | |
| 2020 | 1,221 | $45K | |
| 2021 | 1,665 | $137K | |
| 2022 | 1,920 | $191K | |
| 2023 | 1,874 | $100K | |
| 2024incomplete | 1,030 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 49% | 1,576 | 1,223 | $359K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 33% | 1,372 | 1,197 | $238K |
| 36415 | Collection of venous blood by venipuncture | 5.6% | 4,362 | 3,609 | $40K |
| 80053 | Comprehensive metabolic panel | 4.7% | 1,436 | 1,201 | $34K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.2% | 1,097 | 963 | $16K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.7% | 77 | 76 | $12K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 216 | 209 | $5K |
| 85027 | <1% | 304 | 260 | $4K | |
| 85007 | <1% | 272 | 234 | $3K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 15 | 12 | $2K |
| 0240U | <1% | 14 | 14 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 49 | 47 | $2K |
6 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 26 | $2K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 33 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 14 | $1K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 12 | $1K |
| 87081 | <1% | 15 | $496.40 | |
| 83735 | <1% | 16 | $202.72 |
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.