Avera ST Lukes
Avera ST Lukes was paid $1.48M by Medicaid between Jan 2018 and Nov 2024, across 85 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 33% of everything it billed.
33Billing provider infoAVERA ST LUKES
ABERDEEN, SD 57401
ABERDEEN, SD 57401
33aNPI1457309270assigned 05/04/2006
33bProvider typeNutrition Education Nutritionist
28Total paid$1.48M
24GClaims76,022
24DCodes billed85
24AFirst – last monthJan 2018 – Nov 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BJERKNES, DANIEL controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,205 | $290K | |
| 2019 | 8,219 | $143K | |
| 2020 | 29,680 | $510K | |
| 2021 | 7,264 | $164K | |
| 2022 | 8,299 | $148K | |
| 2023 | 6,851 | $116K | |
| 2024incomplete | 5,504 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 33% | 32,336 | 11,992 | $489K |
| A9270 | Non-covered item or service | 11% | 8,073 | 1,098 | $162K |
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 7.9% | 10,925 | 241 | $117K |
| 88300 | 5.7% | 109 | 93 | $85K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.4% | 2,020 | 1,226 | $80K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 5.2% | 5,674 | 642 | $76K |
| J3490 | Unclassified drugs | 4.9% | 777 | 371 | $73K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.4% | 1,677 | 1,223 | $50K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.3% | 1,224 | 360 | $49K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 1,396 | 948 | $27K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1.7% | 276 | 237 | $25K |
| 80053 | Comprehensive metabolic panel | 1.5% | 274 | 212 | $22K |
73 more codes
| A0429 | Emergency ambulance ride, basic life support | 1.5% | 275 | $22K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.4% | 1,023 | $21K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 121 | $19K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.3% | 1,079 | $19K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 165 | $13K |
| A0425 | Ground mileage, per statute mile | <1% | 573 | $13K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 538 | $12K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 288 | $9K |
| G0008 | Administration of influenza virus vaccine | <1% | 1,482 | $8K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 85 | $7K |
| 99285 | Emergency room visit (most serious) | <1% | 327 | $7K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 154 | $6K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 374 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 164 | $5K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 253 | $5K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 183 | $4K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 158 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 97 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 195 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 126 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 125 | $3K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 95 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 119 | $2K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 340 | $2K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 133 | $2K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 28 | $2K |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 157 | $2K |
| 93971 | <1% | 71 | $2K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 156 | $1K |
| 00731 | <1% | 17 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 207 | $1K |
| J2704 | Injection, propofol, 10 mg | <1% | 251 | $881.19 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 31 | $841.80 |
| Q3014 | Telehealth originating site facility fee | <1% | 195 | $832.01 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 54 | $823.65 |
| 88307 | <1% | 28 | $823.00 | |
| 92134 | <1% | 38 | $791.29 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 13 | $768.90 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 52 | $739.12 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 64 | $645.38 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 38 | $639.22 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 29 | $627.36 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 17 | $552.26 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 403 | $459.75 |
| E1392 | Portable oxygen concentrator, rental | <1% | 55 | $382.16 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 75 | $362.75 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 33 | $338.74 |
| 99334 | <1% | 25 | $328.83 | |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 35 | $326.99 |
| 11721 | <1% | 30 | $316.96 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 180 | $307.16 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 55 | $292.66 |
| 99442 | <1% | 19 | $246.50 | |
| 99443 | <1% | 13 | $240.24 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 16 | $213.60 |
| 98940 | <1% | 29 | $187.47 | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 59 | $186.36 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 46 | $169.80 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | $154.60 |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 14 | $151.06 |
| 93296 | <1% | 20 | $149.10 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | $114.71 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 28 | $103.18 |
| 87081 | <1% | 13 | $79.17 | |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | <1% | 13 | $72.60 |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 12 | $37.48 |
| 71045 | Radiologic examination, chest; single view | <1% | 21 | $31.01 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 31 | $0.78 |
| 90656 | 0% | 12 | $0.00 | |
| 80061 | Lipid panel | 0% | 12 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 15 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 14 | $0.00 |
| 92015 | Determination of refractive state | 0% | 25 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialBJERKNES, DANIEL (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Avera ST. Luke's | Aberdeen, SD | $2.28M |
| Avera ST Luke's | Aberdeen, SD | $599K |
| Avera ST. Luke's | Aberdeen, SD | $552K |
| Avera ST. Luke's | Aberdeen, SD | $355K |
| Avera ST. Luke's | Aberdeen, SD | $256K |
| Avera ST. Luke's | Aberdeen, SD | $151K |
| Avera ST. Luke's | Aberdeen, SD | $107K |
| Avera ST. Lukes | Aberdeen, SD | $53K |
| Avera ST. Luke's | Aberdeen, SD | $51K |
| Avera ST. Luke's | Aberdeen, SD | $35K |
| Avera ST. Luke's | Aberdeen, SD | $18K |
| Avera ST. Luke's | Aberdeen, SD | $17K |
| Avera ST. Luke's | Aberdeen, SD | $15K |
| Avera ST Lukes | Aberdeen, SD | $6K |
| Avera ST Luke's | Groton, SD | $5K |
| Avera ST Lukes | Ellendale, ND | $5K |
| Avera ST. Luke's | Aberdeen, SD | $325.06 |
| Avera ST. Lukes | Aberdeen, SD | $207.09 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.