Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SIOUX FALLS
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AVERA MCKENNAN
NPI: 1417246901 · SIOUX FALLS, SD 57105 ·
152W00000X
$104K
Total Medicaid Paid
3,228
Total Claims
2,922
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-03
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,204
$25K
2019
1,671
$63K
2020
353
$16K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92004
385
348
$32K
V2020
Vision svcs frames purchases
576
513
$24K
92014
168
155
$12K
V2199
Lens single vision not oth c
175
153
$10K
92015
1,208
1,091
$10K
V2784
Lens polycarb or equal
311
275
$9K
92012
206
204
$5K
92340
199
183
$2K