Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AVERA MCKENNAN

NPI: 1003389206 · ROCK RAPIDS, IA 51246 · Rural Health Clinic/Center · NPI assigned 01/10/2019

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

Authorized official PLACE, RONALD controls 20+ related entities in our dataset. Read more

$186K
Total Medicaid Paid
5,557
Total Claims
4,577
Beneficiaries
4
Codes Billed
2019-05
First Month
2024-08
Last Month

Provider Details

Authorized OfficialPLACE, RONALD (PRESIDENT/CEO)
NPI Enumeration Date01/10/2019

Related Entities

Other providers sharing the same authorized official: PLACE, RONALD

ProviderCityStateTotal Paid
AVERA MCKENNAN SIOUX FALLS SD $6.68M
AVERA MCKENNAN SIOUX FALLS SD $5.34M
AVERA MCKENNAN SIOUX FALLS SD $4.07M
AVERA MCKENNAN SIOUX FALLS SD $3.71M
AVERA MCKENNAN SIOUX FALLS SD $3.24M
AVERA MCKENNAN SIOUX FALLS SD $1.04M
AVERA MCKENNAN SIOUX FALLS SD $1.03M
AVERA MCKENNAN SIOUX FALLS SD $902K
AVERA MCKENNAN MILBANK SD $899K
AVERA MCKENNAN SIOUX FALLS SD $815K
AVERA MCKENNAN SIOUX FALLS SD $758K
AVERA MCKENNAN SIOUX FALLS SD $545K
AVERA MCKENNAN SIOUX FALLS SD $318K
AVERA MCKENNAN SIOUX FALLS SD $156K
AVERA MCKENNAN GREGORY SD $80K
AVERA MCKENNAN MITCHELL SD $70K
AVERA MCKENNAN SIOUX FALLS SD $68K
AVERA MCKENNAN SIOUX FALLS SD $54K
AVERA MCKENNAN SIOUX FALLS SD $54K
AVERA MCKENNAN FLANDREAU SD $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 590 $10K
2020 650 $15K
2021 1,193 $33K
2022 1,442 $43K
2023 1,180 $62K
2024 502 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 4,616 3,738 $178K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 853 760 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41 37 $123.58
99215 Prolong outpt/office vis 47 42 $99.95