Avera Home Medical Equipment, LLC
Avera Home Medical Equipment, LLC was paid $432K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 32% of everything it billed.
WATERTOWN, SD 57201
Next to other Durable Medical Equipment & Medical Supplies providers in South Dakota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 469 | $40K | |
| 2019 | 585 | $40K | |
| 2020 | 550 | $32K | |
| 2021 | 964 | $62K | |
| 2022 | 1,161 | $112K | |
| 2023 | 1,078 | $82K | |
| 2024incomplete | 857 | $63K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 32% | 2,086 | 1,941 | $139K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 31% | 563 | 470 | $132K |
| A4335 | Incontinence supply; miscellaneous | 12% | 994 | 907 | $52K |
| T2028 | Specialized supply, not otherwise specified, waiver | 10.0% | 429 | 400 | $43K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 4.9% | 493 | 452 | $21K |
| E1392 | Portable oxygen concentrator, rental | 3.4% | 740 | 675 | $15K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 2.5% | 99 | 94 | $11K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 2.4% | 159 | 137 | $10K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 1.2% | 70 | 66 | $5K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 19 | 12 | $3K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 12 | 12 | $54.52 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Avera Home Medical Equipment, LLC | Sioux Falls, SD | $3.45M |
| Avera at Home | Aberdeen, SD | $1.60M |
| Avera Home Medical Equipment LLC | Marshall, MN | $1.04M |
| Avera at Home | Yankton, SD | $1.01M |
| Avera Home Medical Equipment, LLC | Aberdeen, SD | $911K |
| Avera Home Medical Equipment of Spencer Hospital LLC | Spencer, IA | $601K |
| Avera Home Medical Equipment, LLC | Mitchell, SD | $438K |
| Avera Home Medical Equipment, LLC | Yankton, SD | $320K |
| Avera Home Medical Equipment, LLC | Estherville, IA | $295K |
| Avera at Home | Sioux Falls, SD | $280K |
| Avera Home Medical Equipment, LLC | Pierre, SD | $219K |
| Avera at Home | Mitchell, SD | $217K |
| Floyd Valley Home Medical Equipment | Le Mars, IA | $123K |
| Avera Home Medical Equipment of Sioux Center | Sioux Center, IA | $117K |
| Avera Home Medical Equipment, LLC | Huron, SD | $57K |
| Avera Home Medical Equipment, LLC | Madison, SD | $41K |
| Avera at Home | Estherville, IA | $27K |
| Avera Home Medical Equipment of Lakes Regional Healthcare, LLC | Spirit Lake, IA | $15K |
| Avera at Home | Yankton, SD | $11K |
| Avera Home Medical Equipment, LLC | Parkston, SD | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.