Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1053680678 · SIOUX FALLS, SD 57105 · Diagnostic Radiology Physician · NPI assigned 12/28/2011

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

Authorized official PLACE, RONALD controls 20+ related entities in our dataset. Read more

$3.24M
Total Medicaid Paid
116,758
Total Claims
88,949
Beneficiaries
76
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPLACE, RONALD (PRESIDENT/CEO)
NPI Enumeration Date12/28/2011

Related Entities

Other providers sharing the same authorized official: PLACE, RONALD

ProviderCityStateTotal Paid
AVERA MCKENNAN SIOUX FALLS SD $6.68M
AVERA MCKENNAN SIOUX FALLS SD $5.34M
AVERA MCKENNAN SIOUX FALLS SD $4.07M
AVERA MCKENNAN SIOUX FALLS SD $3.71M
AVERA MCKENNAN SIOUX FALLS SD $1.04M
AVERA MCKENNAN SIOUX FALLS SD $1.03M
AVERA MCKENNAN SIOUX FALLS SD $902K
AVERA MCKENNAN MILBANK SD $899K
AVERA MCKENNAN SIOUX FALLS SD $815K
AVERA MCKENNAN SIOUX FALLS SD $758K
AVERA MCKENNAN SIOUX FALLS SD $545K
AVERA MCKENNAN SIOUX FALLS SD $318K
AVERA MCKENNAN ROCK RAPIDS IA $186K
AVERA MCKENNAN SIOUX FALLS SD $156K
AVERA MCKENNAN GREGORY SD $80K
AVERA MCKENNAN MITCHELL SD $70K
AVERA MCKENNAN SIOUX FALLS SD $68K
AVERA MCKENNAN SIOUX FALLS SD $54K
AVERA MCKENNAN SIOUX FALLS SD $54K
AVERA MCKENNAN FLANDREAU SD $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,944 $398K
2019 14,623 $426K
2020 8,335 $231K
2021 16,212 $458K
2022 18,598 $481K
2023 18,211 $431K
2024 24,835 $811K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 6,699 6,013 $486K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,042 1,900 $340K
70450 Computed tomography, head or brain; without contrast material 7,702 6,190 $303K
71275 Computed tomographic angiography, chest, with contrast material 2,263 2,116 $281K
71045 Radiologic examination, chest; single view 28,545 14,956 $190K
49083 693 269 $137K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,907 1,769 $110K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,473 2,234 $109K
71046 Radiologic examination, chest; 2 views 11,885 10,629 $102K
70551 Magnetic resonance imaging, brain; without contrast material 1,183 1,060 $97K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,961 2,631 $79K
74018 9,498 5,415 $77K
72125 Computed tomography, cervical spine; without contrast material 1,501 1,401 $74K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 713 655 $67K
71250 1,383 1,263 $58K
78815 Positron emission tomography (PET) for limited area imaging 54 54 $55K
70496 507 440 $54K
70498 513 451 $54K
99152 2,022 1,521 $43K
76770 1,357 1,257 $39K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 441 423 $33K
93976 1,245 1,142 $33K
73630 3,677 3,012 $33K
76830 Ultrasound, transvaginal 956 889 $31K
76700 Ultrasound, abdominal, real time with image documentation; complete 869 806 $30K
77067 Screening mammography, bilateral, including computer-aided detection 943 892 $28K
73610 2,637 2,312 $25K
73130 2,266 1,756 $21K
73110 1,901 1,590 $19K
73030 1,898 1,676 $16K
77063 Screening digital breast tomosynthesis, bilateral 834 799 $15K
72100 1,291 1,205 $13K
73502 1,338 1,207 $13K
73564 1,039 852 $12K
76642 451 417 $12K
73562 1,090 875 $11K
74019 1,079 972 $11K
74230 542 485 $10K
93971 287 270 $9K
70486 172 162 $8K
73140 867 713 $7K
73560 826 664 $7K
36558 12 12 $7K
76937 933 676 $6K
77066 Tomosynthesis, mammo 201 181 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 162 148 $5K
73080 520 471 $5K
93970 113 107 $5K
72141 67 64 $4K
70491 74 66 $4K
74174 27 24 $4K
73590 370 317 $4K
76536 147 133 $4K
73090 342 301 $3K
72156 26 25 $3K
77001 141 107 $3K
72040 271 243 $3K
74178 30 25 $3K
74170 24 24 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 71 64 $2K
74183 16 14 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 155 154 $1K
73700 34 29 $1K
73552 86 73 $912.73
73221 13 13 $839.60
93975 14 13 $804.53
72170 103 91 $786.40
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 17 16 $766.89
77065 Tomosynthesis, mammo 27 25 $715.59
73600 61 52 $630.63
76857 37 37 $579.70
72082 27 25 $533.62
73060 45 40 $454.51
71101 12 12 $187.43
73000 14 12 $168.84
77062 16 12 $126.94