Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Avera Mckennan

Avera Mckennan was paid $93K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.

33Billing provider infoAVERA MCKENNAN
SIOUX FALLS, SD 57108
33aNPI1013177393assigned 06/11/2008
33bProvider typeRheumatology Physician
28Total paid$93K
24GClaims2,357
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FLICEK, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018272$9K
2019264$9K
2020200$7K
2021221$7K
2022342$16K
2023328$15K
2024incomplete730$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 87% 1,797 1,578 $81K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 7.7% 111 91 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.7% 146 129 $3K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.7% 13 12 $2K
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% 290 264 $294.41

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 officialFLICEK, DAVID (CEO/PRESIDENT)
Same official

Other billing entities under FLICEK, DAVID

Full network →
ProviderLocationPaid
Avera MckennanSioux Falls, SD$9.09M
Avera MckennanSioux Falls, SD$2.56M
Avera MckennanSioux Falls, SD$2.34M
Avera MckennanSioux Falls, SD$2.04M
Avera MckennanSioux Falls, SD$1.86M
Avera MckennanSioux Falls, SD$1.80M
Avera MckennanSioux Falls, SD$1.44M
Avera MckennanSioux Falls, SD$1.38M
Avera MckennanSioux Falls, SD$857K
Avera MckennanSioux Falls, SD$507K
Avera MckennanSioux Falls, SD$445K
Avera MckennanGregory, SD$397K
Avera MckennanSioux Falls, SD$307K
Avera MckennanSioux Falls, SD$280K
Avera MckennanSioux Falls, SD$246K
Avera MckennanWorthington, MN$240K
Avera MckennanWindom, MN$176K
Avera MckennanSioux Falls, SD$104K
Avera MckennanSioux Falls, SD$95K
Avera MckennanSioux Falls, SD$62K

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