Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1083679625 · MILLER, SD 57362 · Clinic/Center · NPI assigned 04/18/2006

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

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

$43K
Total Medicaid Paid
1,553
Total Claims
1,390
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPLACE, RONALD (PRESIDENT/CEO)
NPI Enumeration Date04/18/2006

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 $3.24M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 333 $11K
2019 290 $8K
2020 54 $2K
2021 135 $5K
2022 246 $9K
2023 240 $3K
2024 255 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 866 719 $33K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 109 96 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 156 154 $2K
W0037 320 320 $960.00
90686 88 88 $473.14
99308 Subsequent nursing facility care, per day, straightforward 14 13 $386.89