Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1083972160 · SIOUX FALLS, SD 57105 · Hospitalist Physician · NPI assigned 04/26/2012

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

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

$2.56M
Total Medicaid Paid
67,367
Total Claims
30,624
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (CEO/PRESIDENT)
NPI Enumeration Date04/26/2012

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 $2.34M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,634 $281K
2019 7,828 $290K
2020 5,145 $203K
2021 10,014 $373K
2022 11,828 $385K
2023 11,297 $438K
2024 13,621 $590K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 26,895 6,208 $887K
99233 Prolong inpt eval add15 m 13,932 4,050 $666K
99223 Prolong inpt eval add15 m 4,105 3,595 $356K
99239 Hospital discharge day management, more than 30 minutes 4,143 3,668 $209K
99222 Initial hospital care, per day, moderate complexity 2,820 2,495 $181K
99238 Hospital discharge day management, 30 minutes or less 2,775 2,468 $99K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,540 886 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 8,964 6,238 $47K
99219 541 497 $26K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 155 113 $18K
99217 271 249 $9K
99220 98 84 $5K
99225 128 73 $4K