Clinic
Monument Health Network, INC.
Monument Health Network, INC. was paid $737K by Medicaid between Feb 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoMONUMENT HEALTH NETWORK, INC.
STURGIS, SD 57785
STURGIS, SD 57785
33aNPI1841706686assigned 12/15/2017
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$737K
24GClaims25,969
24DCodes billed25
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in South Dakota
Rank by total paid#8 of 24
Median peer was paid$251K
This provider vs. median2.9×
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.
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 | 1,994 | $53K | |
| 2019 | 2,805 | $81K | |
| 2020 | 1,657 | $45K | |
| 2021 | 3,667 | $107K | |
| 2022 | 4,029 | $128K | |
| 2023 | 5,523 | $132K | |
| 2024incomplete | 6,294 | $192K |
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 | 55% | 9,830 | 8,237 | $402K |
| 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 | 22% | 2,406 | 2,109 | $159K |
| W0037 | 7.7% | 3,902 | 3,902 | $56K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 944 | 847 | $24K |
| 36415 | Collection of venous blood by venipuncture | 2.7% | 4,202 | 3,509 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 1,752 | 1,691 | $18K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 689 | 661 | $12K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.3% | 101 | 57 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 560 | 515 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 704 | 575 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 87 | 74 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 83 | 81 | $5K |
13 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 90686 | <1% | 300 | $953.34 | |
| 90677 | <1% | 12 | $577.32 | |
| 90656 | <1% | 68 | $552.00 | |
| 90651 | <1% | 80 | $383.00 | |
| 90715 | <1% | 49 | $232.50 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 28 | $153.70 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 17 | $17.43 |
| 36416 | 0% | 13 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| 90734 | 0% | 59 | $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 officialSCHULTE, MARK (PRESIDENT STURGIS HOSPITAL)
| Provider | Location | Paid |
|---|---|---|
| Monument Health Network, INC. | Hot Springs, SD | $324K |
| Monument Health Network, INC. | Sturgis, SD | $163K |
| Monument Health Network, INC. | Sturgis, SD | $130K |
| Monument Health Network, INC | Custer, SD | $91K |
| Monument Health Network, INC. | Sturgis, SD | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.