Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1134195332 · SIOUX FALLS, SD 57105 · Physical Medicine & Rehabilitation Physician · NPI assigned 02/27/2006

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

Authorized official FLICEK, DAVID controls 20+ related entities in our dataset. Read more

$62K
Total Medicaid Paid
1,634
Total Claims
1,049
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (CEO/PRESIDENT)
NPI Enumeration Date02/27/2006

Related Entities

Other providers sharing the same authorized official: FLICEK, DAVID

ProviderCityStateTotal Paid
AVERA MCKENNAN SIOUX FALLS SD $9.09M
AVERA MCKENNAN SIOUX FALLS SD $2.56M
AVERA MCKENNAN SIOUX FALLS SD $2.34M
AVERA MCKENNAN SIOUX FALLS SD $2.04M
AVERA MCKENNAN SIOUX FALLS SD $1.86M
AVERA MCKENNAN SIOUX FALLS SD $1.80M
AVERA MCKENNAN SIOUX FALLS SD $1.44M
AVERA MCKENNAN SIOUX FALLS SD $1.38M
AVERA MCKENNAN SIOUX FALLS SD $857K
AVERA MCKENNAN SIOUX FALLS SD $507K
AVERA MCKENNAN SIOUX FALLS SD $445K
AVERA MCKENNAN GREGORY SD $397K
AVERA MCKENNAN SIOUX FALLS SD $307K
AVERA MCKENNAN SIOUX FALLS SD $280K
AVERA MCKENNAN SIOUX FALLS SD $246K
AVERA MCKENNAN WORTHINGTON MN $240K
AVERA MCKENNAN WINDOM MN $176K
AVERA MCKENNAN SIOUX FALLS SD $104K
AVERA MCKENNAN SIOUX FALLS SD $95K
AVERA MCKENNAN SIOUX FALLS SD $93K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 146 $5K
2019 496 $17K
2020 158 $6K
2021 268 $11K
2022 320 $10K
2023 168 $10K
2024 78 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 708 590 $30K
99231 Subsequent hospital care, per day, straightforward or low complexity 441 142 $10K
99233 Prolong inpt eval add15 m 98 55 $7K
99232 Subsequent hospital care, per day, moderate complexity 143 56 $4K
99222 Initial hospital care, per day, moderate complexity 54 42 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 118 113 $3K
62323 16 13 $2K
62370 15 13 $593.76
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 13 $590.56
99221 26 12 $468.80