Supplier
Avera Mckennan
Avera Mckennan was paid $758K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoAVERA MCKENNAN
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
33aNPI1093262131assigned 09/07/2016
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$758K
24GClaims18,437
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in South Dakota
Rank by total paid#11 of 58
Median peer was paid$71K
This provider vs. median11×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PLACE, RONALD 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 | 1,093 | $41K | |
| 2019 | 1,720 | $62K | |
| 2020 | 887 | $30K | |
| 2021 | 2,416 | $87K | |
| 2022 | 3,606 | $138K | |
| 2023 | 3,952 | $162K | |
| 2024incomplete | 4,763 | $238K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 27% | 4,052 | 3,368 | $202K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 5,388 | 4,401 | $177K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 20% | 1,765 | 1,600 | $149K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 2,698 | 2,341 | $147K |
| 20610 | 3.5% | 840 | 700 | $26K | |
| 73630 | 2.7% | 1,363 | 1,058 | $21K | |
| 73110 | 1.1% | 538 | 399 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 366 | 303 | $8K |
| 73564 | <1% | 376 | 248 | $6K | |
| 73610 | <1% | 227 | 187 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 89 | 84 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 16 | 12 | $2K |
12 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 235 | $854.46 |
| 11720 | <1% | 141 | $826.83 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $722.59 |
| 11721 | <1% | 38 | $397.29 | |
| 73502 | <1% | 16 | $301.41 | |
| 73560 | <1% | 22 | $299.24 | |
| 73030 | <1% | 15 | $299.18 | |
| 73140 | <1% | 25 | $286.56 | |
| 73130 | <1% | 17 | $268.46 | |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | <1% | 47 | $1.06 |
| 99024 | 0% | 132 | $0.00 |
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 officialPLACE, RONALD (CEO/PRESIDENT)
| Provider | Location | 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 | $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 |
| Avera Mckennan | Flandreau, SD | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.