Physician
Sanford Health Network
Sanford Health Network was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99284, emergency room visit (serious) — 30% of everything it billed.
33Billing provider infoSANFORD HEALTH NETWORK
CHAMBERLAIN, SD 57325
CHAMBERLAIN, SD 57325
33aNPI1952687295assigned 11/01/2011
33bProvider typeSurgery Physician
28Total paid$1.03M
24GClaims21,533
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in South Dakota
Rank by total paid#3 of 10
Median peer was paid$6K
This provider vs. median169×
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 | 2,050 | $70K | |
| 2019 | 2,421 | $113K | |
| 2020 | 1,449 | $79K | |
| 2021 | 2,985 | $144K | |
| 2022 | 2,857 | $149K | |
| 2023 | 4,851 | $218K | |
| 2024incomplete | 4,920 | $260K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 3,603 | 3,174 | $309K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 6,326 | 5,413 | $281K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 15% | 1,221 | 1,062 | $154K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.0% | 1,660 | 1,510 | $93K |
| 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 | 3.3% | 536 | 481 | $34K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.5% | 521 | 465 | $26K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.9% | 197 | 183 | $20K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 224 | 197 | $19K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 229 | 132 | $18K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.5% | 494 | 472 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 1,065 | 1,027 | $11K |
| W0037 | <1% | 2,218 | 2,218 | $7K |
27 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 180 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 409 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,282 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 131 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 58 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 50 | $4K |
| 90686 | <1% | 393 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | $2K |
| 0002A | <1% | 55 | $2K | |
| 0001A | <1% | 68 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 105 | $2K |
| 91320 | <1% | 15 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $940.17 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 15 | $661.48 |
| 0012A | <1% | 14 | $385.80 | |
| 90656 | <1% | 50 | $373.23 | |
| 90480 | <1% | 15 | $356.93 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 17 | $134.82 |
| 81003 | <1% | 34 | $76.13 | |
| 91305 | 0% | 53 | $0.00 | |
| 90674 | 0% | 13 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 91301 | 0% | 20 | $0.00 | |
| 91300 | 0% | 156 | $0.00 | |
| 90671 | 0% | 12 | $0.00 | |
| 90633 | 0% | 12 | $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)
Parent organizationSANFORD HEALTH NETWORK
| 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.