Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › MITCHELL › SANFORD CLINIC

SANFORD CLINIC

NPI: 1841506110 · MITCHELL, SD 57301 · Obstetrics & Gynecology Physician · NPI assigned 08/25/2010

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

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

$1.18M
Total Medicaid Paid
36,715
Total Claims
32,217
Beneficiaries
55
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
NPI Enumeration Date08/25/2010

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,873 $258K
2019 8,979 $264K
2020 4,940 $162K
2021 8,966 $301K
2022 4,747 $176K
2023 210 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,608 11,447 $599K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,616 1,458 $101K
90460 Immunization administration through 18 years of age via any route, first or only component 2,280 2,237 $91K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,360 1,339 $85K
W0037 956 956 $63K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 910 778 $55K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 594 573 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,061 1,003 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,029 1,970 $19K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 245 128 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 211 201 $12K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 238 120 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 204 192 $10K
99188 447 436 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 705 504 $8K
71046 Radiologic examination, chest; 2 views 290 261 $5K
90472 Immunization administration, each additional vaccine (list separately) 307 302 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 252 142 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 172 163 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 36 $3K
90686 1,774 1,745 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 347 347 $2K
0071A 35 34 $1K
90715 105 102 $1K
90651 185 172 $1K
96161 120 117 $1K
90670 1,292 1,262 $848.95
0072A 21 21 $833.07
99173 56 55 $691.89
0001A 17 15 $591.08
74019 29 27 $498.93
0002A 12 12 $476.04
0011A 14 13 $396.70
74018 14 13 $230.28
90473 23 23 $227.85
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 17 15 $222.34
90685 60 59 $47.28
J0696 Injection, ceftriaxone sodium, per 250 mg 22 12 $43.73
90633 498 492 $30.63
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 14 13 $2.10
90461 337 330 $0.00
91300 72 63 $0.00
90707 38 38 $0.00
90672 46 46 $0.00
90710 14 14 $0.00
90734 99 93 $0.00
90698 1,277 1,248 $0.00
91307 92 84 $0.00
90744 558 540 $0.00
90680 853 830 $0.00
90674 50 49 $0.00
90716 39 39 $0.00
91301 24 21 $0.00
90696 14 14 $0.00
91305 20 13 $0.00