Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AVERA MCKENNAN

NPI: 1417250762 · SIBLEY, IA 51249 · Physician Assistant · NPI assigned 12/08/2010

$159K
Total Medicaid Paid
4,972
Total Claims
4,318
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNORTON, JULIE (SR.VP OF FINANCE)
NPI Enumeration Date12/08/2010

Related Entities

Other providers sharing the same authorized official: NORTON, JULIE

ProviderCityStateTotal Paid
AVERA MCKENNAN SIOUX FALLS SD $10.61M
AVERA MCKENNAN FLANDREAU SD $394K
AVERA MCKENNAN WORTHINGTON MN $332K
AVERA MCKENNAN DELL RAPIDS SD $141K
AVERA MCKENNAN WINNER SD $139K
BROOKINGS HEALTH SYSTEM/AVERA HOME MEDICAL EQUIPMENT LLC BROOKINGS SD $50K
AVERA MCKENNAN MILLER SD $9K
AVERA MCKENNAN CHAMBERLAIN SD $3K
AVERA MCKENNAN BIG STONE CITY SD $815.32
AVERA MCKENNAN LARCHWOOD IA $464.26

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 892 $24K
2019 1,016 $27K
2020 579 $18K
2021 702 $23K
2022 894 $32K
2023 700 $25K
2024 189 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,991 3,461 $124K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 691 615 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 60 48 $1K
90686 48 41 $1K
99308 Subsequent nursing facility care, per day, straightforward 114 90 $882.06
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43 38 $259.91
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $235.30
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12 12 $126.02