Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Avera Home Medical Equipment, LLC

Avera Home Medical Equipment, LLC was paid $320K by Medicaid between Jan 2018 and Dec 2024, across 16 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 — 55% of everything it billed.

33Billing provider infoAVERA HOME MEDICAL EQUIPMENT, LLC
YANKTON, SD 57078
33aNPI1194891168assigned 11/28/2006
28Total paid$320K
24GClaims9,502
24DCodes billed16
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#19 of 58
Median peer was paid$71K
This provider vs. median4.5×

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 DIELEMAN, SANDRA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018631$26K
2019833$28K
2020806$27K
20211,551$49K
20221,809$57K
20232,108$62K
2024incomplete1,764$72K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 55% 2,579 2,426 $176K
E0601 Continuous positive airway pressure (cpap) device 14% 1,608 1,476 $46K
A4335 Incontinence supply; miscellaneous 9.4% 967 921 $30K
E1392 Portable oxygen concentrator, rental 6.7% 953 925 $21K
E0562 Humidifier, heated, used with positive airway pressure device 4.8% 1,539 1,408 $16K
A4604 Tubing with integrated heating element for use with positive airway pressure device 3.2% 413 386 $10K
T4541 Incontinence product, disposable underpad, large, each 1.7% 172 154 $6K
A7038 Filter, disposable, used with positive airway pressure device 1.4% 909 818 $5K
A7031 Face mask interface, replacement for full face mask, each 1.1% 88 83 $4K
A7035 Headgear used with positive airway pressure device <1% 193 179 $3K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 12 12 $2K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 15 12 $1K
4 more codes
A7030 Full face mask used with positive airway pressure device, each <1% 12 $718.30
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 14 $688.38
E0570 Nebulizer, with compressor <1% 12 $221.10
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 16 $85.45

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 officialDIELEMAN, SANDRA (PRESIDENT/CEO)
Same official

Other billing entities under DIELEMAN, SANDRA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.