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

Avera Queen of Peace

Avera Queen of Peace was paid $181K by Medicaid between Jan 2018 and Feb 2022, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoAVERA QUEEN OF PEACE
MITCHELL, SD 57301
33aNPI1124308010assigned 08/23/2011
28Total paid$181K
24GClaims6,401
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers

Next to other Family Medicine Physician providers in South Dakota

Rank by total paid#19 of 40
Median peer was paid$144K
This provider vs. median1.3×

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 ROCKWELL, HILARY controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20183,322$95K
20192,691$79K
2020116$2K
2021214$4K
202258$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53% 3,160 2,601 $96K
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 22% 985 884 $41K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6.4% 774 682 $12K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.8% 158 134 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3.7% 161 148 $7K
Q3014 Telehealth originating site facility fee 3.7% 551 528 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.9% 222 94 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 95 79 $2K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 21 14 $2K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 17 17 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 161 150 $1K
90686 <1% 96 91 $704.52

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 officialROCKWELL, HILARY (REGIONAL PRESIDENT/CEO)
Parent organizationAVERA HEALTH
Same official

Other billing entities under ROCKWELL, HILARY

Full network →
ProviderLocationPaid
Avera Queen of PeaceMitchell, SD$284K
Avera Queen of PeaceMitchell, SD$233K
Avera Queen of PeaceMitchell, SD$197K
Avera Queen of PeaceMitchell, SD$172K
Avera Queen of PeaceMitchell, SD$120K
Avera Queen of PeaceMitchell, SD$61K
Avera Queen of PeaceMitchell, SD$43K
Avera Queen of PeaceDe Smet, SD$38K
Avera Queen of PeaceMitchell, SD$26K
Avera Queen of PeaceMitchell, SD$17K
Avera Queen of PeaceMitchell, SD$10K
Avera Queen of PeaceMitchell, SD$7K
Avera Queen of PeaceMitchell, SD$2K
Avera Queen of PeaceMitchell, SD$971.76

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