Avera ST. Luke's
Avera ST. Luke's was paid $35K by Medicaid between Jan 2018 and Jun 2024, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 42% of everything it billed.
ABERDEEN, SD 57401
Next to other Otolaryngology Physician providers in South Dakota
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 284 | $12K | |
| 2019 | 91 | $5K | |
| 2021 | 33 | $1K | |
| 2022 | 75 | $3K | |
| 2023 | 65 | $3K | |
| 2024incomplete | 137 | $10K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 42% | 257 | 240 | $15K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 29% | 205 | 172 | $10K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 11% | 16 | 13 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.7% | 52 | 51 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 103 | 90 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 52 | 41 | $1K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Avera ST. Luke's | Aberdeen, SD | $2.28M |
| Avera ST Lukes | Aberdeen, SD | $1.48M |
| Avera ST Luke's | Aberdeen, SD | $599K |
| Avera ST. Luke's | Aberdeen, SD | $552K |
| Avera ST. Luke's | Aberdeen, SD | $355K |
| Avera ST. Luke's | Aberdeen, SD | $256K |
| Avera ST. Luke's | Aberdeen, SD | $151K |
| Avera ST. Luke's | Aberdeen, SD | $107K |
| Avera ST. Lukes | Aberdeen, SD | $53K |
| Avera ST. Luke's | Aberdeen, SD | $51K |
| Avera ST. Luke's | Aberdeen, SD | $18K |
| Avera ST. Luke's | Aberdeen, SD | $17K |
| Avera ST. Luke's | Aberdeen, SD | $15K |
| Avera ST Lukes | Aberdeen, SD | $6K |
| Avera ST Luke's | Groton, SD | $5K |
| Avera ST Lukes | Ellendale, ND | $5K |
| Avera ST. Luke's | Aberdeen, SD | $325.06 |
| Avera ST. Lukes | Aberdeen, SD | $207.09 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.