Medicaid Provider Spending

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

NPI: 1316601743 · SIOUX FALLS, SD 57105 · Otolaryngology Physician · NPI assigned 10/22/2021

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

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

$29K
Total Medicaid Paid
429
Total Claims
382
Beneficiaries
4
Codes Billed
2022-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (PRESIDENT/CEO)
NPI Enumeration Date10/22/2021

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 $2.34M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 61 $4K
2023 63 $5K
2024 305 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 226 200 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 126 112 $12K
92567 63 57 $850.42
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 13 $686.28