Physician
Sanford Clinic
Sanford Clinic was paid $1.18M by Medicaid between Jan 2018 and Jun 2023, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoSANFORD CLINIC
MITCHELL, SD 57301
MITCHELL, SD 57301
33aNPI1841506110assigned 08/25/2010
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.18M
24GClaims36,715
24DCodes billed55
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in South Dakota
Rank by total paid#3 of 11
Median peer was paid$65K
This provider vs. median18×
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 | 8,873 | $258K | |
| 2019 | 8,979 | $264K | |
| 2020 | 4,940 | $162K | |
| 2021 | 8,966 | $301K | |
| 2022 | 4,747 | $176K | |
| 2023 | 210 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 14,608 | 11,447 | $599K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.6% | 1,616 | 1,458 | $101K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.7% | 2,280 | 2,237 | $91K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 1,360 | 1,339 | $85K |
| W0037 | 5.3% | 956 | 956 | $63K | |
| 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 | 4.6% | 910 | 778 | $55K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 594 | 573 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 1,061 | 1,003 | $30K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 2,029 | 1,970 | $19K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.0% | 245 | 128 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 211 | 201 | $12K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 238 | 120 | $11K |
43 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 204 | $10K |
| 99188 | <1% | 447 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 705 | $8K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 290 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 307 | $5K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 252 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 172 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $3K |
| 90686 | <1% | 1,774 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 347 | $2K |
| 0071A | <1% | 35 | $1K | |
| 90715 | <1% | 105 | $1K | |
| 90651 | <1% | 185 | $1K | |
| 96161 | <1% | 120 | $1K | |
| 90670 | <1% | 1,292 | $848.95 | |
| 0072A | <1% | 21 | $833.07 | |
| 99173 | <1% | 56 | $691.89 | |
| 0001A | <1% | 17 | $591.08 | |
| 74019 | <1% | 29 | $498.93 | |
| 0002A | <1% | 12 | $476.04 | |
| 0011A | <1% | 14 | $396.70 | |
| 74018 | <1% | 14 | $230.28 | |
| 90473 | <1% | 23 | $227.85 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $222.34 |
| 90685 | <1% | 60 | $47.28 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 22 | $43.73 |
| 90633 | <1% | 498 | $30.63 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 14 | $2.10 |
| 90461 | 0% | 337 | $0.00 | |
| 91300 | 0% | 72 | $0.00 | |
| 90707 | 0% | 38 | $0.00 | |
| 90672 | 0% | 46 | $0.00 | |
| 90710 | 0% | 14 | $0.00 | |
| 90734 | 0% | 99 | $0.00 | |
| 90698 | 0% | 1,277 | $0.00 | |
| 91307 | 0% | 92 | $0.00 | |
| 90744 | 0% | 558 | $0.00 | |
| 90680 | 0% | 853 | $0.00 | |
| 90674 | 0% | 50 | $0.00 | |
| 90716 | 0% | 39 | $0.00 | |
| 91301 | 0% | 24 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 91305 | 0% | 20 | $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.