Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1194799882 · SIOUX FALLS, SD 57108 · Gastroenterology Physician · NPI assigned 02/17/2006

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

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

$445K
Total Medicaid Paid
5,564
Total Claims
4,708
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (CEO/PRESIDENT)
NPI Enumeration Date02/17/2006

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 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
AVERA MCKENNAN SIOUX FALLS SD $62K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 568 $30K
2019 562 $36K
2020 634 $37K
2021 890 $57K
2022 941 $71K
2023 834 $70K
2024 1,135 $143K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,456 1,239 $186K
45380 Colonoscopy, flexible; with biopsy, single or multiple 443 352 $74K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,509 1,383 $62K
43235 129 121 $23K
99232 Subsequent hospital care, per day, moderate complexity 592 329 $18K
99221 362 318 $17K
99222 Initial hospital care, per day, moderate complexity 199 162 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 618 572 $13K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 32 30 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 105 92 $10K
99223 Prolong inpt eval add15 m 94 86 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 12 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $794.23