Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1013980598 · SIOUX FALLS, SD 57108 · Psychiatry Physician · NPI assigned 02/07/2006

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

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

$9.09M
Total Medicaid Paid
154,989
Total Claims
88,629
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (CEO/PRESIDENT)
NPI Enumeration Date02/07/2006

Related Entities

Other providers sharing the same authorized official: FLICEK, DAVID

ProviderCityStateTotal Paid
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
AVERA MCKENNAN SIOUX FALLS SD $62K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,704 $1.06M
2019 18,398 $989K
2020 10,488 $579K
2021 19,022 $1.08M
2022 23,768 $1.40M
2023 31,516 $1.82M
2024 33,093 $2.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 20,588 6,927 $1.22M
99232 Subsequent hospital care, per day, moderate complexity 25,997 8,106 $1.22M
99223 Prolong inpt eval add15 m 9,992 9,016 $1.13M
90853 Group psychotherapy (other than of a multiple-family group) 25,961 6,720 $993K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,482 11,403 $674K
99239 Hospital discharge day management, more than 30 minutes 9,451 8,427 $656K
90832 Psychotherapy, 30 minutes with patient 7,138 3,437 $359K
90792 Psychiatric diagnostic evaluation with medical services 3,309 2,990 $354K
99215 Prolong outpt/office vis 4,235 3,826 $342K
90837 Psychotherapy, 53 minutes with patient 3,108 1,662 $242K
90847 Family psychotherapy with the patient present, 50 minutes 4,534 3,663 $232K
90834 Psychotherapy, 45 minutes with patient 3,450 1,485 $227K
96131 1,508 1,362 $186K
96130 2,122 1,923 $183K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,496 4,142 $175K
90791 Psychiatric diagnostic evaluation 1,566 1,400 $151K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3,940 2,508 $137K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,656 2,925 $118K
99238 Hospital discharge day management, 30 minutes or less 2,128 1,925 $116K
96101 466 422 $110K
99236 Prolong inpt eval add15 m 572 512 $87K
99205 Prolong outpt/office vis 684 605 $83K
99222 Initial hospital care, per day, moderate complexity 557 506 $39K
96136 829 727 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 314 277 $9K
99235 18 18 $2K
96139 39 37 $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) 1,317 1,231 $2K
99234 17 15 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $1K
99418 Prolong nursin fac eval 15m 40 39 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $1K
96138 39 37 $827.12
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $676.43
96137 44 22 $547.39
90846 Family psychotherapy without the patient present, 50 minutes 352 296 $0.00