Monument Health Network, INC.

Monument Health Network, INC. was paid $15K by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 100% of everything it billed.

33Billing provider infoMONUMENT HEALTH NETWORK, INC.
SPEARFISH, SD 57783

33aNPI1902284581assigned 05/14/2015

33bProvider typeGeneral Acute Care Hospital

28Total paid$15K

24GClaims704

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Acute Care Hospital providers in South Dakota

Rank by total paid#14 of 17

Median peer was paid$547K

This provider vs. median0.0×

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 WORSLEY, THOMAS controls 13+ 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	128	$3K
2019	129	$2K
2020	55	$1K
2021	102	$2K
2022	52	$2K
2023	123	$2K
2024incomplete	115	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0463	Hospital outpatient clinic visit for assessment and management of a patient	100%	704	466	$15K

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 officialWORSLEY, THOMAS (PRESIDENT SPEARFISH HOSPITAL)

Same official

Other billing entities under WORSLEY, THOMAS

Full network →

Provider	Location	Paid
Monument Health Network, INC.	Spearfish, SD	$2.02M
Monument Health Network, INC.	Spearfish, SD	$1.82M
Monument Health Network, INC.	Belle Fourche, SD	$879K
Monument Health Network, INC.	Spearfish, SD	$743K
Monument Health Network, INC.	Spearfish, SD	$441K
Monument Health Network, INC.	Spearfish, SD	$220K
Monument Health Network, INC.	Spearfish, SD	$101K
Monument Health Network, INC.	Newcastle, WY	$94K
Monument Health Network, INC.	Spearfish, SD	$18K
Monument Health Network, INC.	Belle Fourche, SD	$14K
Monument Health Network, INC.	Spearfish, SD	$8K
Monument Health Network, INC.	Spearfish, SD	$2K
Monument Health Network, INC.	Buffalo, SD	$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.