Avera Mckennan
Avera Mckennan was paid $104K by Medicaid between Jan 2018 and Mar 2020, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.
SIOUX FALLS, SD 57105
Next to other Optometrist 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 | 1,204 | $25K | |
| 2019 | 1,671 | $63K | |
| 2020 | 353 | $16K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 385 | 348 | $32K |
| V2020 | Frames, purchases | 23% | 576 | 513 | $24K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 168 | 155 | $12K |
| V2199 | Not otherwise classified, single vision lens | 9.7% | 175 | 153 | $10K |
| 92015 | Determination of refractive state | 9.4% | 1,208 | 1,091 | $10K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 8.5% | 311 | 275 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.7% | 206 | 204 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.0% | 199 | 183 | $2K |
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 | $280K |
| Avera Mckennan | Sioux Falls, SD | $246K |
| Avera Mckennan | Worthington, MN | $240K |
| Avera Mckennan | Windom, MN | $176K |
| 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.