Avera Mckennan
Avera Mckennan was paid $280K by Medicaid between Jan 2018 and Nov 2022, across 7 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 63% of everything it billed.
SIOUX FALLS, SD 57108
Next to other Psychiatry 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 | 1,253 | $62K | |
| 2019 | 1,246 | $61K | |
| 2020 | 673 | $36K | |
| 2021 | 1,235 | $59K | |
| 2022 | 1,043 | $62K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 63% | 3,303 | 1,846 | $177K |
| 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 | 27% | 1,679 | 1,561 | $77K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.5% | 215 | 196 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 178 | 170 | $6K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 29 | 24 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 17 | 13 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 29 | 22 | $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 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 | $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 |
| Avera Mckennan | Sioux Falls, SD | $62K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.