AVERA MCKENNAN

NPI: 1417246901 · SIOUX FALLS, SD 57105 · Optometrist · NPI assigned 04/05/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official FLICEK, DAVID controls 20+ related entities in our dataset. Read more

$104K

Total Medicaid Paid

3,228

Total Claims

2,922

Beneficiaries

Codes Billed

2018-01

First Month

2020-03

Last Month

Provider Details

Authorized Official	FLICEK, DAVID (SENIOR VP OF FINANCE)
NPI Enumeration Date	04/05/2011

Other providers sharing the same authorized official: FLICEK, DAVID

Provider	City	State	Total 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

Code	Description	Claims	Beneficiaries	Total Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	385	348	$32K
V2020	Frames, purchases	576	513	$24K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	168	155	$12K
V2199	Not otherwise classified, single vision lens	175	153	$10K
92015	Determination of refractive state	1,208	1,091	$10K
V2784	Lens, polycarbonate or equal, any index, per lens	311	275	$9K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	206	204	$5K
92340	Fitting of spectacles, except for aphakia; monofocal	199	183	$2K