Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1114113693 · SIOUX FALLS, SD 57105 · Neurological Surgery Physician · NPI assigned 09/19/2007

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

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

$815K
Total Medicaid Paid
16,189
Total Claims
12,711
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPLACE, RONALD (CEO/PRESIDENT)
NPI Enumeration Date09/19/2007

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,707 $78K
2019 1,900 $108K
2020 884 $37K
2021 2,240 $85K
2022 2,637 $101K
2023 2,673 $136K
2024 4,148 $271K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,101 3,665 $149K
99205 Prolong outpt/office vis 1,584 1,309 $133K
99215 Prolong outpt/office vis 1,647 1,343 $92K
J0585 Injection, onabotulinumtoxina, 1 unit 129 70 $83K
95886 1,195 1,089 $83K
99232 Subsequent hospital care, per day, moderate complexity 2,586 966 $81K
95816 1,079 880 $52K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,427 1,289 $36K
99223 Prolong inpt eval add15 m 357 304 $27K
64615 271 224 $22K
99222 Initial hospital care, per day, moderate complexity 212 178 $17K
95913 175 159 $17K
95819 179 155 $11K
99233 Prolong inpt eval add15 m 74 26 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 56 46 $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) 954 895 $2K
95911 13 13 $859.09
99231 Subsequent hospital care, per day, straightforward or low complexity 69 25 $831.79
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 42 39 $642.55
95887 26 24 $623.01
95970 13 12 $138.89