Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › SIOUX FALLS › SANFORD MEDICAL CENTER

SANFORD MEDICAL CENTER

NPI: 1841242542 · SIOUX FALLS, SD 57104 · Clinical Medical Laboratory · NPI assigned 05/17/2006

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

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

$18.03M
Total Medicaid Paid
938,859
Total Claims
852,400
Beneficiaries
225
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
Parent OrganizationSANFORD MEDICAL CENTER
NPI Enumeration Date05/17/2006

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 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 88,671 $1.63M
2019 94,897 $1.61M
2020 82,094 $2.31M
2021 146,966 $3.07M
2022 157,501 $3.01M
2023 173,074 $2.96M
2024 195,656 $3.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 36,533 33,769 $2.76M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 29,615 28,017 $1.02M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 24,157 22,654 $776K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 24,187 22,671 $776K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,963 5,751 $738K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,424 1,382 $546K
87507 1,372 1,296 $534K
36415 Collection of venous blood by venipuncture 115,807 99,995 $528K
86003 7,345 5,548 $507K
0240U 4,904 3,930 $478K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4,336 4,148 $424K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 55,710 49,624 $410K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 10,662 10,031 $350K
84443 Thyroid stimulating hormone (TSH) 22,217 20,895 $337K
80053 Comprehensive metabolic panel 34,849 31,874 $332K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 13,836 13,177 $304K
80050 General health panel 5,217 4,981 $282K
80061 Lipid panel 20,450 19,360 $248K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 6,801 6,542 $243K
86480 4,219 3,974 $237K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 699 634 $231K
87631 1,498 1,442 $229K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4,953 4,741 $228K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 8,551 7,987 $220K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 9,199 8,758 $206K
87150 5,445 5,251 $198K
87086 Culture, bacterial; quantitative colony count, urine 25,219 22,829 $193K
86780 13,985 13,433 $177K
87522 Neg quan hep c or qual rna 3,239 3,015 $150K
84439 18,493 17,218 $143K
86762 10,058 9,421 $135K
86803 10,220 9,783 $133K
83036 Hemoglobin; glycosylated (A1C) 14,635 13,889 $126K
87077 14,353 12,700 $125K
82728 9,470 8,969 $118K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,533 1,390 $109K
87186 10,964 9,934 $98K
80048 Basic metabolic panel (calcium, ionized) 12,049 10,467 $93K
85027 14,879 13,462 $91K
83970 2,212 2,080 $83K
83550 10,732 10,219 $83K
87340 8,450 8,055 $82K
87070 9,322 8,518 $79K
86850 5,577 5,331 $74K
82785 4,772 4,349 $73K
86235 1,056 860 $71K
82607 5,234 4,911 $71K
87536 841 807 $69K
87634 1,117 1,053 $69K
83540 11,218 10,675 $65K
82784 5,604 5,100 $62K
86364 5,619 5,330 $62K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 901 489 $62K
84702 4,238 2,851 $59K
83516 3,731 3,184 $59K
81001 17,918 16,385 $56K
83013 780 748 $53K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 691 426 $52K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,430 1,343 $49K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 746 639 $49K
87210 9,024 8,536 $47K
86255 4,045 3,818 $47K
81025 5,858 5,631 $42K
86038 3,468 3,302 $41K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,418 2,313 $40K
83880 1,147 1,018 $39K
82570 7,755 6,965 $38K
84146 2,109 1,956 $38K
87529 592 546 $36K
80047 2,858 2,671 $35K
80081 384 366 $33K
86140 6,962 6,389 $33K
36416 17,832 13,570 $30K
82746 2,115 2,007 $28K
86696 1,725 1,588 $28K
80076 3,575 3,230 $28K
86376 2,056 1,935 $28K
82950 5,570 5,401 $28K
83735 4,244 3,367 $26K
84481 1,699 1,610 $26K
83001 1,408 1,338 $24K
86665 841 764 $23K
87486 610 559 $23K
87581 609 559 $23K
84403 1,044 971 $23K
87902 45 44 $23K
86706 2,227 2,122 $22K
86481 276 264 $22K
86200 1,755 1,641 $21K
86695 1,713 1,579 $20K
85004 2,764 2,540 $20K
83690 2,930 2,792 $20K
80164 1,504 1,345 $19K
83993 1,036 997 $19K
81003 8,732 7,540 $19K
86258 1,099 1,019 $18K
80069 2,266 1,898 $18K
85610 4,734 3,539 $18K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 613 598 $18K
82247 3,587 2,007 $18K
87338 1,414 1,323 $18K
84156 4,899 4,174 $17K
86147 391 341 $17K
86146 409 346 $17K
82043 3,018 2,885 $17K
82670 638 599 $15K
86900 5,213 4,963 $15K
86901 5,166 4,930 $15K
86704 1,399 1,321 $15K
85018 6,101 5,830 $15K
86160 791 675 $15K
86592 3,059 2,930 $15K
84460 2,736 2,341 $14K
84100 3,080 2,472 $14K
82565 2,772 2,358 $14K
87046 783 592 $14K
86225 1,075 1,003 $14K
84450 2,617 2,238 $13K
0352U 384 354 $13K
80074 294 282 $12K
84153 755 730 $12K
87147 1,825 1,632 $12K
86769 351 313 $11K
82274 845 725 $11K
86708 812 771 $11K
82951 821 781 $11K
83002 622 593 $10K
80197 836 478 $10K
86308 1,884 1,810 $10K
82397 395 359 $10K
87506 41 36 $9K
86039 874 835 $9K
83525 837 780 $9K
85046 1,653 1,509 $9K
85652 3,272 3,045 $8K
85048 2,946 2,719 $8K
87493 161 144 $8K
85007 2,217 1,781 $8K
87660 460 403 $8K
87480 462 403 $8K
86787 692 641 $8K
87510 464 402 $8K
82533 471 424 $7K
86800 536 510 $7K
86618 441 431 $7K
84144 424 382 $7K
82248 1,439 1,087 $7K
82947 1,751 1,644 $7K
82150 1,090 1,024 $7K
82550 1,079 995 $7K
84550 1,521 1,309 $7K
80177 577 525 $6K
85651 1,483 1,416 $6K
80305 596 556 $6K
86645 365 344 $6K
87045 672 613 $5K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 113 94 $5K
82105 354 347 $5K
86008 93 75 $5K
84480 374 358 $5K
82627 246 235 $5K
86644 319 300 $4K
85730 805 727 $4K
87481 98 92 $4K
84703 587 559 $4K
83615 628 507 $4K
82977 512 447 $3K
87040 277 227 $3K
83521 104 93 $3K
82390 298 289 $3K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 32 26 $3K
82952 821 780 $3K
86036 240 226 $3K
82140 199 180 $3K
86431 506 487 $3K
84681 130 127 $2K
86430 465 435 $2K
86231 201 198 $2K
80306 138 118 $2K
86738 102 94 $2K
87653 35 35 $2K
87329 122 109 $1K
81418 14 13 $1K
87328 92 86 $1K
80178 228 205 $1K
87427 112 103 $1K
86709 108 100 $1K
87209 63 57 $976.30
84165 156 131 $975.47
86593 232 224 $940.16
83655 73 71 $928.72
80320 39 38 $921.60
87205 260 237 $920.80
80349 53 51 $891.60
80345 39 38 $787.20
81015 260 249 $784.91
86788 40 40 $659.18
87088 81 76 $596.38
87075 69 63 $562.96
87517 13 13 $512.35
87177 63 57 $483.28
85379 46 44 $427.42
86664 27 27 $414.92
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 15 15 $385.85
84520 74 60 $370.77
83605 33 32 $367.44
87280 20 20 $354.60
87275 20 20 $354.60
87279 20 20 $354.60
87260 20 20 $354.60
87276 20 20 $348.60
84145 12 12 $317.07
84484 28 26 $311.13
87299 14 14 $246.40
82310 46 42 $239.79
82340 41 38 $194.82
85014 56 54 $176.87
82044 30 28 $169.16
87220 44 39 $153.51
84132 33 26 $124.18
85660 19 18 $84.15
87081 12 12 $70.40
84300 13 13 $60.57
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 13 13 $18.95
0097U 36 33 $0.00