Physician
Avera Mckennan
Avera Mckennan was paid $16K by Medicaid between Aug 2018 and Oct 2024, across 9 billing codes. Its largest line is 99457, — 32% of everything it billed.
33Billing provider infoAVERA MCKENNAN
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
33aNPI1013350891assigned 04/11/2013
33bProvider typeEmergency Medicine Physician
28Total paid$16K
24GClaims539
24DCodes billed9
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers
Next to other Emergency Medicine Physician providers in South Dakota
Rank by total paid#5 of 10
Median peer was paid$6K
This provider vs. median2.9×
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 FLICEK, DAVID 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 | 18 | $285.25 | |
| 2019 | 18 | $333.85 | |
| 2020 | 36 | $918.64 | |
| 2021 | 95 | $4K | |
| 2022 | 39 | $1K | |
| 2024incomplete | 333 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99457 | 32% | 204 | 152 | $5K | |
| 99454 | 20% | 106 | 84 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 89 | 77 | $2K |
| 99458 | 12% | 49 | 36 | $2K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.5% | 28 | 27 | $2K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.7% | 17 | 15 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.7% | 15 | 12 | $440.57 |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1.8% | 18 | 14 | $285.25 |
| 99453 | 1.1% | 13 | 12 | $176.40 |
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)
| Provider | Location | Paid |
|---|---|---|
| Avera Mckennan | Sioux Falls, SD | $9.09M |
| Avera Mckennan | Sioux Falls, SD | $2.56M |
| Avera Mckennan | Sioux Falls, SD | $2.34M |
| Avera Mckennan | Sioux Falls, SD | $2.04M |
| Avera Mckennan | Sioux Falls, SD | $1.86M |
| Avera Mckennan | Sioux Falls, SD | $1.80M |
| Avera Mckennan | Sioux Falls, SD | $1.44M |
| Avera Mckennan | Sioux Falls, SD | $1.38M |
| Avera Mckennan | Sioux Falls, SD | $857K |
| Avera Mckennan | Sioux Falls, SD | $507K |
| Avera Mckennan | Sioux Falls, SD | $445K |
| Avera Mckennan | Gregory, SD | $397K |
| Avera Mckennan | Sioux Falls, SD | $307K |
| Avera Mckennan | Sioux Falls, SD | $280K |
| Avera Mckennan | Sioux Falls, SD | $246K |
| Avera Mckennan | Worthington, MN | $240K |
| Avera Mckennan | Windom, MN | $176K |
| Avera Mckennan | Sioux Falls, SD | $104K |
| Avera Mckennan | Sioux Falls, SD | $95K |
| Avera Mckennan | Sioux Falls, SD | $93K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.