Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1013350891 · SIOUX FALLS, SD 57108 · Emergency Medicine Physician · NPI assigned 04/11/2013

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

Authorized official FLICEK, DAVID controls 20+ related entities in our dataset. Read more

$16K
Total Medicaid Paid
539
Total Claims
429
Beneficiaries
9
Codes Billed
2018-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (CEO/PRESIDENT)
NPI Enumeration Date04/11/2013

Related Entities

Other providers sharing the same authorized official: FLICEK, DAVID

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18 $285.25
2019 18 $333.85
2020 36 $918.64
2021 95 $4K
2022 39 $1K
2024 333 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99457 204 152 $5K
99454 106 84 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 89 77 $2K
99458 49 36 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 28 27 $2K
99284 Emergency department visit for the evaluation and management, high severity 17 15 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity 15 12 $440.57
99281 Emergency department visit for the evaluation and management, self-limited or minor 18 14 $285.25
99453 13 12 $176.40