Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1205808748 · SIOUX FALLS, SD 57105 · Maternal & Fetal Medicine Physician · NPI assigned 02/07/2006

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

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

$2.34M
Total Medicaid Paid
47,075
Total Claims
26,920
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (CEO/PRESIDENT)
NPI Enumeration Date02/07/2006

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 $2.04M
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 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 3,215 $239K
2019 4,303 $302K
2020 2,674 $190K
2021 5,872 $340K
2022 10,643 $411K
2023 10,703 $428K
2024 9,665 $425K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 6,560 4,954 $704K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14,394 9,793 $546K
76819 Fetal biophysical profile; without non-stress testing 10,685 4,120 $456K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,811 2,895 $234K
76801 2,148 1,464 $138K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,735 1,089 $73K
76813 768 529 $49K
76820 1,371 369 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,003 666 $33K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 424 319 $23K
76830 Ultrasound, transvaginal 365 196 $16K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 258 179 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 406 255 $10K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 119 67 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 25 $3K