Physician
Avera Mckennan
Avera Mckennan was paid $815K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
33Billing provider infoAVERA MCKENNAN
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
33aNPI1114113693assigned 09/19/2007
33bProvider typeNeurological Surgery Physician
28Total paid$815K
24GClaims16,189
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
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 | 1,707 | $78K | |
| 2019 | 1,900 | $108K | |
| 2020 | 884 | $37K | |
| 2021 | 2,240 | $85K | |
| 2022 | 2,637 | $101K | |
| 2023 | 2,673 | $136K | |
| 2024incomplete | 4,148 | $271K |
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 | 18% | 4,101 | 3,665 | $149K |
| 99205 | Prolong outpt/office vis | 16% | 1,584 | 1,309 | $133K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 1,647 | 1,343 | $92K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 10% | 129 | 70 | $83K |
| 95886 | 10% | 1,195 | 1,089 | $83K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.9% | 2,586 | 966 | $81K |
| 95816 | 6.3% | 1,079 | 880 | $52K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 1,427 | 1,289 | $36K |
| 99223 | Prolong inpt eval add15 m | 3.4% | 357 | 304 | $27K |
| 64615 | 2.7% | 271 | 224 | $22K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.1% | 212 | 178 | $17K |
| 95913 | 2.1% | 175 | 159 | $17K |
9 more codes
| 95819 | 1.4% | 179 | $11K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 74 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 56 | $3K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 954 | $2K |
| 95911 | <1% | 13 | $859.09 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 69 | $831.79 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $642.55 |
| 95887 | <1% | 26 | $623.01 | |
| 95970 | <1% | 13 | $138.89 |
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 | $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 |
| Avera Mckennan | Flandreau, SD | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.