Physician
Avera Mckennan
Avera Mckennan was paid $1.80M by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 59% of everything it billed.
33Billing provider infoAVERA MCKENNAN
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
33aNPI1073585949assigned 02/06/2006
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$1.80M
24GClaims7,290
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2024
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 | 811 | $125K | |
| 2019 | 1,052 | $136K | |
| 2020 | 771 | $102K | |
| 2021 | 1,482 | $447K | |
| 2022 | 885 | $210K | |
| 2023 | 1,114 | $338K | |
| 2024incomplete | 1,175 | $449K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 59% | 2,509 | 329 | $1.06M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 25% | 2,760 | 369 | $451K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 11% | 1,592 | 164 | $191K |
| 99468 | 4.1% | 88 | 81 | $75K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 326 | 309 | $26K |
| 99477 | <1% | 15 | 14 | $4K |
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 | $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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.