Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1275562027 · GREGORY, SD 57533 · Medicare Defined Swing Bed Hospital Unit · NPI assigned 07/02/2006

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

Authorized official PLACE, RONALD controls 20+ related entities in our dataset. Read more

$80K
Total Medicaid Paid
4,916
Total Claims
930
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialPLACE, RONALD (PRESIDENT/CEO)
NPI Enumeration Date07/02/2006

Related Entities

Other providers sharing the same authorized official: PLACE, RONALD

ProviderCityStateTotal Paid
AVERA MCKENNAN SIOUX FALLS SD $6.68M
AVERA MCKENNAN SIOUX FALLS SD $5.34M
AVERA MCKENNAN SIOUX FALLS SD $4.07M
AVERA MCKENNAN SIOUX FALLS SD $3.71M
AVERA MCKENNAN SIOUX FALLS SD $3.24M
AVERA MCKENNAN SIOUX FALLS SD $1.04M
AVERA MCKENNAN SIOUX FALLS SD $1.03M
AVERA MCKENNAN SIOUX FALLS SD $902K
AVERA MCKENNAN MILBANK SD $899K
AVERA MCKENNAN SIOUX FALLS SD $815K
AVERA MCKENNAN SIOUX FALLS SD $758K
AVERA MCKENNAN SIOUX FALLS SD $545K
AVERA MCKENNAN SIOUX FALLS SD $318K
AVERA MCKENNAN ROCK RAPIDS IA $186K
AVERA MCKENNAN SIOUX FALLS SD $156K
AVERA MCKENNAN MITCHELL SD $70K
AVERA MCKENNAN SIOUX FALLS SD $68K
AVERA MCKENNAN SIOUX FALLS SD $54K
AVERA MCKENNAN SIOUX FALLS SD $54K
AVERA MCKENNAN FLANDREAU SD $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,229 $19K
2019 1,081 $15K
2020 530 $7K
2021 880 $11K
2022 771 $16K
2023 245 $7K
2024 180 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,223 760 $65K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 617 96 $12K
99284 Emergency department visit for the evaluation and management, high severity 13 13 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 20 19 $775.65
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 25 $418.61
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 18 17 $307.86