Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1174077275 · WORTHINGTON, MN 56187 · Optometrist · NPI assigned 08/08/2016

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

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

$240K
Total Medicaid Paid
8,447
Total Claims
7,969
Beneficiaries
13
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (CEO/PRESIDENT)
NPI Enumeration Date08/08/2016

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 WINDOM MN $176K
AVERA MCKENNAN SIOUX FALLS SD $104K
AVERA MCKENNAN SIOUX FALLS SD $95K
AVERA MCKENNAN SIOUX FALLS SD $93K
AVERA MCKENNAN SIOUX FALLS SD $62K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,698 $20K
2019 3,360 $131K
2020 2,389 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,030 987 $64K
V2020 Frames, purchases 1,571 1,500 $41K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 513 487 $38K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 890 803 $29K
92340 Fitting of spectacles, except for aphakia; monofocal 1,267 1,212 $23K
V2784 Lens, polycarbonate or equal, any index, per lens 964 892 $18K
92015 Determination of refractive state 1,891 1,801 $18K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 198 177 $7K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 55 46 $2K
92341 27 25 $668.03
92250 12 12 $318.17
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 17 15 $0.00
1036F 12 12 $0.00