Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Avera Mckennan

Avera Mckennan was paid $2.56M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 35% of everything it billed.

33Billing provider infoAVERA MCKENNAN
SIOUX FALLS, SD 57105
33aNPI1083972160assigned 04/26/2012
33bProvider typeHospitalist Physician
28Total paid$2.56M
24GClaims67,367
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20187,634$281K
20197,828$290K
20205,145$203K
202110,014$373K
202211,828$385K
202311,297$438K
2024incomplete13,621$590K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 35% 26,895 6,208 $887K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 26% 13,932 4,050 $666K
99223 Prolong inpt eval add15 m 14% 4,105 3,595 $356K
99239 Hospital discharge day management, more than 30 minutes 8.2% 4,143 3,668 $209K
99222 Initial hospital care, per day, moderate complexity 7.1% 2,820 2,495 $181K
99238 Hospital discharge day management, 30 minutes or less 3.9% 2,775 2,468 $99K
99231 Subsequent hospital care, per day, straightforward or low complexity 2.1% 2,540 886 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.8% 8,964 6,238 $47K
99219 1.0% 541 497 $26K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 155 113 $18K
99217 <1% 271 249 $9K
99220 <1% 98 84 $5K
1 more codes
99225 <1% 128 $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)
Same official

Other billing entities under FLICEK, DAVID

Full network →
ProviderLocationPaid
Avera MckennanSioux Falls, SD$9.09M
Avera MckennanSioux Falls, SD$2.34M
Avera MckennanSioux Falls, SD$2.04M
Avera MckennanSioux Falls, SD$1.86M
Avera MckennanSioux Falls, SD$1.80M
Avera MckennanSioux Falls, SD$1.44M
Avera MckennanSioux Falls, SD$1.38M
Avera MckennanSioux Falls, SD$857K
Avera MckennanSioux Falls, SD$507K
Avera MckennanSioux Falls, SD$445K
Avera MckennanGregory, SD$397K
Avera MckennanSioux Falls, SD$307K
Avera MckennanSioux Falls, SD$280K
Avera MckennanSioux Falls, SD$246K
Avera MckennanWorthington, MN$240K
Avera MckennanWindom, MN$176K
Avera MckennanSioux Falls, SD$104K
Avera MckennanSioux Falls, SD$95K
Avera MckennanSioux Falls, SD$93K
Avera MckennanSioux Falls, SD$62K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.