Clinic
Avera ST. Mary's
Avera ST. Mary's was paid $319K by Medicaid between Jan 2018 and May 2024, across 5 billing codes. Its largest line is 99499, — 54% of everything it billed.
33Billing provider infoAVERA ST. MARY'S
PIERRE, SD 57501
PIERRE, SD 57501
33aNPI1124464128assigned 05/16/2013
33bProvider typeMedical Specialty Clinic/Center
28Total paid$319K
24GClaims2,068
24DCodes billed5
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in South Dakota
Rank by total paid#1 of 8
Median peer was paid$38K
This provider vs. median8.4×
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.
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 | 208 | $46K | |
| 2019 | 356 | $41K | |
| 2020 | 232 | $21K | |
| 2021 | 360 | $59K | |
| 2022 | 399 | $63K | |
| 2023 | 346 | $58K | |
| 2024incomplete | 167 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99499 | 54% | 955 | 732 | $173K | |
| 99205 | Prolong outpt/office vis | 30% | 851 | 726 | $96K |
| W8710 | 10.0% | 141 | 66 | $32K | |
| W8700 | 4.4% | 67 | 42 | $14K | |
| 99170 | 1.5% | 54 | 38 | $5K |
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 officialHOLLAND, MIKEL (CEO/PRESIDENT)
Parent organizationAVERA ST. MARY'S HOSPITAL CHILD ASSESSMENT CENTER
| Provider | Location | Paid |
|---|---|---|
| Avera ST Marys | Pierre, SD | $1.65M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.