Medicaid Provider Spending

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

AVERA QUEEN OF PEACE

NPI: 1124308010 · MITCHELL, SD 57301 · Family Medicine Physician · NPI assigned 08/23/2011

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

Authorized official ROCKWELL, HILARY controls 14+ related entities in our dataset. Read more

$181K
Total Medicaid Paid
6,401
Total Claims
5,422
Beneficiaries
12
Codes Billed
2018-01
First Month
2022-02
Last Month

Provider Details

Authorized OfficialROCKWELL, HILARY (REGIONAL PRESIDENT/CEO)
Parent OrganizationAVERA HEALTH
NPI Enumeration Date08/23/2011

Related Entities

Other providers sharing the same authorized official: ROCKWELL, HILARY

ProviderCityStateTotal Paid
AVERA QUEEN OF PEACE MITCHELL SD $284K
AVERA QUEEN OF PEACE MITCHELL SD $233K
AVERA QUEEN OF PEACE MITCHELL SD $197K
AVERA QUEEN OF PEACE MITCHELL SD $172K
AVERA QUEEN OF PEACE MITCHELL SD $120K
AVERA QUEEN OF PEACE MITCHELL SD $61K
AVERA QUEEN OF PEACE MITCHELL SD $43K
AVERA QUEEN OF PEACE DE SMET SD $38K
AVERA QUEEN OF PEACE MITCHELL SD $26K
AVERA QUEEN OF PEACE MITCHELL SD $17K
AVERA QUEEN OF PEACE MITCHELL SD $10K
AVERA QUEEN OF PEACE MITCHELL SD $7K
AVERA QUEEN OF PEACE MITCHELL SD $2K
AVERA QUEEN OF PEACE MITCHELL SD $971.76

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,322 $95K
2019 2,691 $79K
2020 116 $2K
2021 214 $4K
2022 58 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,160 2,601 $96K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 985 884 $41K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 774 682 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 158 134 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 161 148 $7K
Q3014 Telehealth originating site facility fee 551 528 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 222 94 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 95 79 $2K
90837 Psychotherapy, 53 minutes with patient 21 14 $2K
90791 Psychiatric diagnostic evaluation 17 17 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 161 150 $1K
90686 96 91 $704.52