Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1255309589 · DELL RAPIDS, SD 57022 · Clinic/Center · NPI assigned 03/11/2006

$141K
Total Medicaid Paid
4,842
Total Claims
4,184
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNORTON, JULIE (SENIOR VICE PRESIDENT OF FINANCE)
NPI Enumeration Date03/11/2006

Related Entities

Other providers sharing the same authorized official: NORTON, JULIE

ProviderCityStateTotal Paid
AVERA MCKENNAN SIOUX FALLS SD $10.61M
AVERA MCKENNAN FLANDREAU SD $394K
AVERA MCKENNAN WORTHINGTON MN $332K
AVERA MCKENNAN SIBLEY IA $159K
AVERA MCKENNAN WINNER SD $139K
BROOKINGS HEALTH SYSTEM/AVERA HOME MEDICAL EQUIPMENT LLC BROOKINGS SD $50K
AVERA MCKENNAN MILLER SD $9K
AVERA MCKENNAN CHAMBERLAIN SD $3K
AVERA MCKENNAN BIG STONE CITY SD $815.32
AVERA MCKENNAN LARCHWOOD IA $464.26

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 666 $19K
2019 786 $22K
2020 395 $12K
2021 516 $14K
2022 810 $25K
2023 806 $21K
2024 863 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,979 2,447 $106K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 435 367 $23K
99309 Subsequent nursing facility care, per day, low to moderate complexity 142 129 $4K
99308 Subsequent nursing facility care, per day, straightforward 170 158 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 359 335 $3K
W0037 552 552 $2K
90686 178 169 $352.26
90472 Immunization administration, each additional vaccine (list separately) 15 15 $238.62
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12 12 $0.00