MONUMENT HEALTH NETWORK, INC.
NPI: 1902285828
· SPEARFISH, SD 57783
· 261QM1300X
$2.02M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14,531 |
$329K |
| 2019 |
14,882 |
$330K |
| 2020 |
8,304 |
$185K |
| 2021 |
13,064 |
$323K |
| 2022 |
11,809 |
$283K |
| 2023 |
11,156 |
$235K |
| 2024 |
11,948 |
$336K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
12,163 |
10,519 |
$516K |
| 99391 |
|
4,412 |
3,792 |
$277K |
| 99392 |
|
3,218 |
3,149 |
$206K |
| 99214 |
|
2,759 |
2,473 |
$167K |
| 99212 |
|
3,886 |
3,564 |
$110K |
| 90472 |
|
4,928 |
4,844 |
$94K |
| 99203 |
|
1,420 |
1,280 |
$87K |
| 99393 |
|
1,311 |
1,273 |
$85K |
| 90471 |
|
8,211 |
8,010 |
$81K |
| 74177 |
|
699 |
655 |
$51K |
| 59400 |
|
29 |
28 |
$39K |
| 71046 |
|
3,196 |
2,601 |
$33K |
| 36415 |
|
5,775 |
5,031 |
$24K |
| 90474 |
|
2,052 |
2,012 |
$20K |
| 0241U |
|
145 |
139 |
$19K |
| 87880 |
|
1,076 |
1,036 |
$18K |
| 87804 |
|
1,054 |
520 |
$17K |
| 76817 |
|
230 |
199 |
$15K |
| 76815 |
|
424 |
393 |
$14K |
| 70450 |
|
379 |
347 |
$13K |
| W0037 |
|
4,403 |
4,403 |
$13K |
| 76805 |
|
261 |
251 |
$13K |
| 99204 |
|
114 |
108 |
$13K |
| 83655 |
|
674 |
662 |
$10K |
| 99238 |
|
157 |
144 |
$9K |
| 90715 |
|
444 |
433 |
$9K |
| 92567 |
|
526 |
460 |
$7K |
| 99460 |
|
86 |
81 |
$7K |
| 71045 |
|
958 |
849 |
$6K |
| 99394 |
|
89 |
86 |
$6K |
| 99202 |
|
117 |
110 |
$5K |
| 90686 |
|
2,422 |
2,347 |
$4K |
| 87807 |
|
251 |
244 |
$4K |
| 99215 |
Prolong outpt/office vis |
44 |
37 |
$3K |
| 92557 |
|
97 |
90 |
$3K |
| 96372 |
|
263 |
207 |
$2K |
| 95117 |
|
191 |
83 |
$2K |
| 73630 |
|
212 |
177 |
$2K |
| 74018 |
|
167 |
110 |
$2K |
| 0071A |
|
47 |
47 |
$2K |
| 0072A |
|
39 |
39 |
$2K |
| 77067 |
|
29 |
29 |
$1K |
| 0002A |
|
31 |
29 |
$1K |
| 73610 |
|
102 |
87 |
$1K |
| 81003 |
|
402 |
305 |
$905.24 |
| 90670 |
|
2,559 |
2,512 |
$848.95 |
| 73721 |
|
14 |
12 |
$842.78 |
| 92586 |
|
17 |
13 |
$829.20 |
| 73562 |
|
89 |
76 |
$823.14 |
| 92587 |
|
43 |
31 |
$694.20 |
| 0001A |
|
17 |
17 |
$634.72 |
| 77063 |
|
29 |
29 |
$602.88 |
| 92588 |
|
19 |
15 |
$546.40 |
| 0500F |
|
54 |
49 |
$475.90 |
| 90656 |
|
200 |
200 |
$438.00 |
| 73030 |
|
44 |
39 |
$433.22 |
| 69210 |
|
15 |
13 |
$390.61 |
| 90651 |
|
115 |
114 |
$375.28 |
| 90677 |
|
338 |
334 |
$268.23 |
| 73110 |
|
15 |
12 |
$186.03 |
| 98966 |
|
12 |
12 |
$171.00 |
| 74019 |
|
14 |
12 |
$154.41 |
| 90707 |
|
1,123 |
1,107 |
$154.10 |
| 90633 |
|
1,366 |
1,346 |
$153.75 |
| 90685 |
|
184 |
181 |
$71.16 |
| G1004 |
Cdsm ndsc |
860 |
640 |
$0.00 |
| 90648 |
|
1,238 |
1,218 |
$0.00 |
| 90700 |
|
252 |
251 |
$0.00 |
| 90734 |
|
106 |
106 |
$0.00 |
| 91300 |
|
129 |
112 |
$0.00 |
| 90680 |
|
2,081 |
2,046 |
$0.00 |
| 90723 |
|
2,326 |
2,280 |
$0.00 |
| 90716 |
|
1,109 |
1,093 |
$0.00 |
| 90647 |
|
1,243 |
1,222 |
$0.00 |
| 36416 |
|
261 |
238 |
$0.00 |
| 90696 |
|
135 |
132 |
$0.00 |
| 91307 |
|
97 |
84 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
84 |
82 |
$0.00 |