Physician
Avera ST. Luke's
Avera ST. Luke's was paid $2.28M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoAVERA ST. LUKE'S
ABERDEEN, SD 57401
ABERDEEN, SD 57401
33aNPI1013143296assigned 06/02/2009
33bProvider typePediatrics Physician
28Total paid$2.28M
24GClaims82,262
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Dakota
Rank by total paid#2 of 6
Median peer was paid$765K
This provider vs. median3.0×
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 BJERKNES, DANIEL controls 18+ 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 | 14,303 | $348K | |
| 2019 | 12,973 | $365K | |
| 2020 | 6,584 | $179K | |
| 2021 | 11,393 | $330K | |
| 2022 | 10,560 | $329K | |
| 2023 | 12,297 | $300K | |
| 2024incomplete | 14,152 | $425K |
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 | 37% | 23,120 | 19,222 | $852K |
| 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 | 19% | 7,983 | 7,113 | $425K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 2,461 | 2,053 | $147K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 2,066 | 1,989 | $133K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 4.2% | 2,900 | 2,668 | $95K |
| W0037 | 3.5% | 6,903 | 6,903 | $79K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.2% | 717 | 670 | $73K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 943 | 892 | $59K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 3,571 | 3,367 | $52K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 6,300 | 5,955 | $51K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.2% | 516 | 473 | $49K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 472 | 443 | $31K |
56 more codes
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.3% | 479 | $31K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,101 | $23K |
| 0240U | <1% | 171 | $20K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,650 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 854 | $13K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 632 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 585 | $8K |
| 90671 | <1% | 288 | $8K | |
| 90474 | <1% | 1,080 | $8K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 179 | $8K |
| 87634 | <1% | 126 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 60 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 323 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 559 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 134 | $4K |
| 90686 | <1% | 1,862 | $4K | |
| 81001 | <1% | 1,390 | $4K | |
| 0001A | <1% | 114 | $4K | |
| 0002A | <1% | 97 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 126 | $3K |
| 90651 | <1% | 422 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 333 | $3K |
| 0072A | <1% | 65 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 80 | $3K |
| 0071A | <1% | 65 | $2K | |
| 91322 | <1% | 17 | $2K | |
| 90670 | <1% | 1,467 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $2K |
| 99460 | <1% | 29 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 30 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 90656 | <1% | 278 | $1K | |
| 90480 | <1% | 38 | $1K | |
| 99188 | <1% | 41 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 914 | $926.35 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 30 | $634.38 |
| 0004A | <1% | 21 | $555.38 | |
| 74018 | <1% | 31 | $494.75 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 12 | $392.37 |
| 99307 | <1% | 29 | $376.76 | |
| 90715 | <1% | 196 | $256.24 | |
| 96380 | <1% | 12 | $238.20 | |
| 80047 | <1% | 16 | $191.06 | |
| 90734 | <1% | 300 | $118.70 | |
| 90685 | <1% | 190 | $101.75 | |
| 86308 | <1% | 12 | $85.22 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 15 | $56.00 |
| 90696 | <1% | 155 | $50.51 | |
| 90697 | 0% | 163 | $0.00 | |
| 90680 | 0% | 1,118 | $0.00 | |
| 90723 | 0% | 1,017 | $0.00 | |
| 90716 | 0% | 89 | $0.00 | |
| 90648 | 0% | 49 | $0.00 | |
| 90633 | 0% | 115 | $0.00 | |
| 90707 | 0% | 85 | $0.00 | |
| 96160 | 0% | 27 | $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 officialBJERKNES, DANIEL (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Avera ST Lukes | Aberdeen, SD | $1.48M |
| Avera ST Luke's | Aberdeen, SD | $599K |
| Avera ST. Luke's | Aberdeen, SD | $552K |
| Avera ST. Luke's | Aberdeen, SD | $355K |
| Avera ST. Luke's | Aberdeen, SD | $256K |
| Avera ST. Luke's | Aberdeen, SD | $151K |
| Avera ST. Luke's | Aberdeen, SD | $107K |
| Avera ST. Lukes | Aberdeen, SD | $53K |
| Avera ST. Luke's | Aberdeen, SD | $51K |
| Avera ST. Luke's | Aberdeen, SD | $35K |
| Avera ST. Luke's | Aberdeen, SD | $18K |
| Avera ST. Luke's | Aberdeen, SD | $17K |
| Avera ST. Luke's | Aberdeen, SD | $15K |
| Avera ST Lukes | Aberdeen, SD | $6K |
| Avera ST Luke's | Groton, SD | $5K |
| Avera ST Lukes | Ellendale, ND | $5K |
| Avera ST. Luke's | Aberdeen, SD | $325.06 |
| Avera ST. Lukes | Aberdeen, SD | $207.09 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.