Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1073585949 · SIOUX FALLS, SD 57105 · Neonatal-Perinatal Medicine Physician · NPI assigned 02/06/2006

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

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

$1.80M
Total Medicaid Paid
7,290
Total Claims
1,266
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (CEO/PRESIDENT)
NPI Enumeration Date02/06/2006

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 $1.44M
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 811 $125K
2019 1,052 $136K
2020 771 $102K
2021 1,482 $447K
2022 885 $210K
2023 1,114 $338K
2024 1,175 $449K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 2,509 329 $1.06M
99480 Subsequent intensive care, per day, low birth weight infant 2,760 369 $451K
99479 Subsequent intensive care, per day, very low birth weight infant 1,592 164 $191K
99468 88 81 $75K
99239 Hospital discharge day management, more than 30 minutes 326 309 $26K
99477 15 14 $4K