Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1376575514 · SIOUX FALLS, SD 57105 · 208600000X

$10.61M
Total Medicaid Paid
371,449
Total Claims
337,015
Beneficiaries
142
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48,170 $1.30M
2019 47,181 $1.29M
2020 26,368 $770K
2021 50,127 $1.48M
2022 59,765 $1.68M
2023 65,262 $1.73M
2024 74,576 $2.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 79,343 66,039 $3.10M
99214 37,231 32,715 $2.01M
99391 11,901 10,668 $772K
99392 9,399 9,078 $620K
99393 5,988 5,736 $396K
90472 16,458 15,836 $352K
0241U 2,760 2,562 $295K
99394 3,845 3,644 $255K
90471 23,192 22,105 $229K
W0037 26,870 26,870 $190K
99460 2,427 2,302 $188K
99215 Prolong outpt/office vis 2,279 2,069 $175K
99238 2,741 2,580 $152K
87651 5,439 4,807 $150K
54150 1,127 1,027 $140K
99395 1,648 1,496 $106K
99222 1,078 955 $97K
0240U 831 788 $86K
99203 1,290 1,161 $79K
99308 2,604 2,254 $72K
71046 3,147 2,847 $62K
90473 5,983 5,804 $58K
99232 1,258 849 $58K
99462 1,544 1,202 $51K
99309 1,486 1,347 $48K
87635 1,051 1,002 $46K
99212 1,893 1,716 $46K
99396 626 585 $44K
36415 9,246 7,874 $41K
99204 411 379 $41K
J1050 Medroxyprogesterone acetate 956 891 $37K
87502 508 418 $36K
96372 3,758 3,147 $34K
90651 3,260 3,118 $27K
99202 607 552 $25K
85025 3,975 3,453 $24K
99223 Prolong inpt eval add15 m 200 171 $23K
90686 10,907 10,452 $23K
91322 226 155 $22K
90715 2,334 2,232 $20K
17110 235 219 $18K
0001A 559 472 $17K
99383 184 174 $17K
0002A 504 453 $17K
84443 1,270 1,152 $16K
U0003 Cov-19 amp prb hgh thruput 249 231 $15K
74018 783 693 $14K
80050 532 461 $14K
90480 553 530 $14K
80053 1,580 1,424 $13K
87631 99 83 $13K
80061 1,157 1,056 $12K
0071A 276 265 $10K
83036 1,263 1,159 $10K
90837 92 50 $9K
87880 699 569 $9K
87804 386 259 $8K
77067 148 135 $8K
99384 99 92 $8K
0072A 196 191 $7K
90460 124 118 $6K
81001 2,407 2,063 $6K
90656 1,126 1,091 $6K
94640 587 516 $5K
84439 780 717 $5K
87634 92 81 $5K
0124A 184 174 $5K
90670 6,879 6,648 $5K
0081A 167 151 $5K
90677 56 55 $4K
80048 642 577 $4K
90671 2,103 2,027 $4K
81025 593 518 $4K
85027 789 693 $4K
77063 136 123 $4K
G2211 Complex e/m visit add on 5,130 4,556 $4K
87510 247 203 $3K
87660 249 202 $3K
87480 244 202 $3K
74019 183 162 $3K
93005 465 423 $3K
90620 299 290 $3K
90734 2,286 2,189 $3K
93010 536 504 $3K
J1885 Ketorolac tromethamine inj 453 351 $3K
90716 2,336 2,248 $2K
90707 2,319 2,230 $2K
90750 12 12 $2K
99188 78 74 $2K
0054A 87 64 $2K
99382 28 26 $2K
0082A 47 47 $2K
73630 87 77 $2K
99239 20 15 $1K
96381 214 109 $1K
83550 188 170 $1K
73610 75 65 $1K
99307 58 51 $1K
0004A 59 40 $1K
83540 206 188 $1K
87807 73 65 $1K
0074A 26 26 $1K
99221 12 12 $987.67
87210 225 199 $985.77
99417 Prolong home eval add 15m 31 30 $852.06
0154A 24 21 $704.36
99231 19 16 $675.29
36416 1,518 1,284 $635.34
0051A 25 18 $595.05
0003A 16 15 $555.38
0052A 16 15 $555.38
87426 16 14 $529.95
0053A 13 13 $468.26
91321 217 213 $437.76
99442 42 38 $406.59
69209 32 28 $386.98
85018 126 114 $232.26
90633 4,944 4,766 $167.20
90710 2,108 2,023 $63.70
85651 12 12 $51.24
J0696 Ceftriaxone sodium injection 35 25 $49.68
96161 12 12 $43.50
90685 168 168 $23.64
J7613 Albuterol non-comp unit 50 44 $4.85
90696 1,859 1,778 $0.31
90461 71 70 $0.00
90672 15 15 $0.00
90700 2,277 2,197 $0.00
90648 7,151 6,916 $0.00
90713 19 18 $0.00
91300 1,097 858 $0.00
90661 81 73 $0.00
G0438 Ppps, initial visit 114 114 $0.00
90687 17 17 $0.00
90380 55 35 $0.00
90723 5,214 5,047 $0.00
90680 5,838 5,647 $0.00
90697 1,563 1,515 $0.00
91307 447 414 $0.00
G0439 Ppps, subseq visit 221 215 $0.00
91305 254 213 $0.00
90381 134 98 $0.00