Supplier
Avera Mckennan
Avera Mckennan was paid $6.68M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 90378, — 92% of everything it billed.
33Billing provider infoAVERA MCKENNAN
SIOUX FALLS, SD 57107
SIOUX FALLS, SD 57107
33aNPI1164492906assigned 01/24/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$6.68M
24GClaims4,414
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in South Dakota
Rank by total paid#1 of 58
Median peer was paid$71K
This provider vs. median94×
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.
Entity ProliferationAuthorized official PLACE, RONALD controls 20+ related entities in our dataset. Read more
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 | 577 | $1.25M | |
| 2019 | 535 | $1.25M | |
| 2020 | 363 | $889K | |
| 2021 | 491 | $1.06M | |
| 2022 | 584 | $836K | |
| 2023 | 1,170 | $797K | |
| 2024incomplete | 694 | $612K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90378 | 92% | 2,990 | 1,856 | $6.17M | |
| A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | 3.7% | 373 | 314 | $250K |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 2.0% | 693 | 535 | $132K |
| A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | 1.6% | 163 | 113 | $106K |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | <1% | 165 | 99 | $27K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 30 | 25 | $591.87 |
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 officialPLACE, RONALD (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Avera Mckennan | Sioux Falls, SD | $5.34M |
| Avera Mckennan | Sioux Falls, SD | $4.07M |
| Avera Mckennan | Sioux Falls, SD | $3.71M |
| Avera Mckennan | Sioux Falls, SD | $3.24M |
| Avera Mckennan | Sioux Falls, SD | $1.04M |
| Avera Mckennan | Sioux Falls, SD | $1.03M |
| Avera Mckennan | Sioux Falls, SD | $902K |
| Avera Mckennan | Milbank, SD | $899K |
| Avera Mckennan | Sioux Falls, SD | $815K |
| Avera Mckennan | Sioux Falls, SD | $758K |
| Avera Mckennan | Sioux Falls, SD | $545K |
| Avera Mckennan | Sioux Falls, SD | $318K |
| Avera Mckennan | Rock Rapids, IA | $186K |
| Avera Mckennan | Sioux Falls, SD | $156K |
| Avera Mckennan | Gregory, SD | $80K |
| Avera Mckennan | Mitchell, SD | $70K |
| Avera Mckennan | Sioux Falls, SD | $68K |
| Avera Mckennan | Sioux Falls, SD | $54K |
| Avera Mckennan | Sioux Falls, SD | $54K |
| Avera Mckennan | Flandreau, SD | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.