Physician
Avera Mckennan
Avera Mckennan was paid $9.09M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 13% of everything it billed.
33Billing provider infoAVERA MCKENNAN
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
33aNPI1013980598assigned 02/07/2006
33bProvider typePsychiatry Physician
28Total paid$9.09M
24GClaims154,989
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in South Dakota
Rank by total paid#1 of 8
Median peer was paid$280K
This provider vs. median32×
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 | 18,704 | $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 | |
| 2024incomplete | 33,093 | $2.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 20,588 | 6,927 | $1.22M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 25,997 | 8,106 | $1.22M |
| 99223 | Prolong inpt eval add15 m | 12% | 9,992 | 9,016 | $1.13M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 11% | 25,961 | 6,720 | $993K |
| 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 | 7.4% | 12,482 | 11,403 | $674K |
| 99239 | Hospital discharge day management, more than 30 minutes | 7.2% | 9,451 | 8,427 | $656K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.0% | 7,138 | 3,437 | $359K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.9% | 3,309 | 2,990 | $354K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.8% | 4,235 | 3,826 | $342K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.7% | 3,108 | 1,662 | $242K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 2.6% | 4,534 | 3,663 | $232K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.5% | 3,450 | 1,485 | $227K |
24 more codes
| 96131 | 2.0% | 1,508 | $186K | |
| 96130 | 2.0% | 2,122 | $183K | |
| 99213 | Doctor's office visit, returning patient (routine) | 1.9% | 4,496 | $175K |
| 90791 | Psychiatric diagnostic evaluation | 1.7% | 1,566 | $151K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.5% | 3,940 | $137K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.3% | 3,656 | $118K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 2,128 | $116K |
| 96101 | 1.2% | 466 | $110K | |
| 99236 | Prolong inpt eval add15 m | <1% | 572 | $87K |
| 99205 | Prolong outpt/office vis | <1% | 684 | $83K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 557 | $39K |
| 96136 | <1% | 829 | $33K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 314 | $9K |
| 99235 | <1% | 18 | $2K | |
| 96139 | <1% | 39 | $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% | 1,317 | $2K |
| 99234 | <1% | 17 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| 99418 | Prolong nursin fac eval 15m | <1% | 40 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $1K |
| 96138 | <1% | 39 | $827.12 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $676.43 |
| 96137 | <1% | 44 | $547.39 | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 352 | $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 officialFLICEK, DAVID (CEO/PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.