Behavioral
Avera Mckennan
Avera Mckennan was paid $332K by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 13% of everything it billed.
33Billing provider infoAVERA MCKENNAN
WORTHINGTON, MN 56187
WORTHINGTON, MN 56187
33aNPI1306939806assigned 10/02/2006
33bProvider typePsychologist
28Total paid$332K
24GClaims20,244
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychologist providers in Minnesota
Rank by total paid#40 of 100
Median peer was paid$162K
This provider vs. median2.0×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,276 | $17K | |
| 2019 | 2,900 | $58K | |
| 2020 | 3,280 | $48K | |
| 2021 | 6,411 | $138K | |
| 2022 | 3,789 | $56K | |
| 2023 | 1,091 | $10K | |
| 2024incomplete | 497 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,134 | 1,028 | $44K |
| 0240U | 11% | 376 | 367 | $35K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 9.1% | 525 | 496 | $30K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.7% | 1,581 | 1,545 | $29K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.8% | 538 | 500 | $26K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 6.8% | 744 | 714 | $23K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.0% | 413 | 398 | $20K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.6% | 2,989 | 2,715 | $19K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 5.5% | 151 | 137 | $18K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.9% | 409 | 352 | $16K |
| 80053 | Comprehensive metabolic panel | 4.2% | 1,622 | 1,521 | $14K |
| 36415 | Collection of venous blood by venipuncture | 3.4% | 3,917 | 3,487 | $11K |
33 more codes
| 80061 | Lipid panel | 2.4% | 693 | $8K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.9% | 407 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.2% | 474 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 231 | $4K |
| 84439 | <1% | 272 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 44 | $2K |
| 83655 | <1% | 190 | $2K | |
| 90686 | <1% | 1,482 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 26 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 219 | $2K |
| 81001 | <1% | 427 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 89 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 104 | $1K |
| 99460 | <1% | 27 | $900.18 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 55 | $837.93 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 12 | $764.20 |
| 76801 | <1% | 13 | $721.76 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 33 | $717.39 |
| 80050 | General health panel | <1% | 14 | $701.82 |
| 85018 | <1% | 272 | $616.20 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 70 | $556.20 |
| 81003 | <1% | 248 | $548.07 | |
| 87081 | <1% | 74 | $470.85 | |
| 36416 | <1% | 170 | $441.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 14 | $426.30 |
| 82728 | <1% | 24 | $327.12 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $300.53 |
| 81025 | <1% | 49 | $283.27 | |
| 87210 | <1% | 30 | $157.14 | |
| 82043 | <1% | 26 | $132.94 | |
| 83540 | <1% | 13 | $84.11 | |
| 82120 | <1% | 17 | $83.86 | |
| 90656 | 0% | 14 | $0.00 |
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 officialNORTON, JULIE (CFO/SVP)
| Provider | Location | Paid |
|---|---|---|
| Avera Mckennan | Sioux Falls, SD | $10.61M |
| Avera Mckennan | Flandreau, SD | $394K |
| Avera Mckennan | Sibley, IA | $159K |
| Avera Mckennan | Dell Rapids, SD | $141K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.