Physician
Avera Queen of Peace
Avera Queen of Peace was paid $802K by Medicaid between Jan 2018 and Jun 2023, across 22 billing codes. Its largest line is 99284, emergency room visit (serious) — 28% of everything it billed.
33Billing provider infoAVERA QUEEN OF PEACE
MITCHELL, SD 57301
MITCHELL, SD 57301
33aNPI1154324507assigned 05/31/2005
33bProvider typeEmergency Medicine Physician
28Total paid$802K
24GClaims22,795
24DCodes billed22
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Emergency Medicine Physician providers in South Dakota
Rank by total paid#1 of 10
Median peer was paid$6K
This provider vs. median142×
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 | 7,361 | $217K | |
| 2019 | 7,032 | $194K | |
| 2020 | 1,828 | $85K | |
| 2021 | 3,470 | $151K | |
| 2022 | 2,526 | $108K | |
| 2023 | 578 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 28% | 3,152 | 2,596 | $225K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 27% | 4,475 | 3,641 | $218K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 11% | 1,359 | 1,195 | $87K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 9.6% | 872 | 724 | $77K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 9.1% | 7,418 | 2,843 | $73K |
| J3490 | Unclassified drugs | 7.0% | 1,595 | 990 | $56K |
| A9270 | Non-covered item or service | 2.8% | 1,138 | 172 | $22K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 2.5% | 1,701 | 158 | $20K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.1% | 95 | 89 | $9K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 54 | 49 | $6K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 78 | 26 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 306 | 266 | $2K |
10 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 114 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $1K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 44 | $717.00 |
| 80053 | Comprehensive metabolic panel | <1% | 64 | $606.56 |
| G0008 | Administration of influenza virus vaccine | <1% | 89 | $254.13 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 123 | $179.71 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 31 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 13 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 28 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 32 | $0.00 |
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 officialEKEREN, DOUGLAS (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Avera Queen of Peace | Mitchell, SD | $1.27M |
| Avera Queen of Peace | Mitchell, SD | $286K |
| Sacred Heart Health Services | Creighton, NE | $273K |
| Sacred Heart Health Services | Yankton, SD | $76K |
| Sacred Heart Health Services | Yankton, SD | $46K |
| Sacred Heart Health Services | Creighton, NE | $11K |
| Sacred Heart Health Services | Yankton, SD | $7K |
| Avera Queen of Peace | Salem, SD | $2K |
| Avera Queen of Peace | De Smet, SD | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.