AVERA MCKENNAN
NPI: 1497847446
· BIG STONE CITY, SD 57216
· Physician Assistant
· NPI assigned 09/28/2006
$815.32
Total Medicaid Paid
Provider Details
| Authorized Official | NORTON, JULIE (CFO) |
| NPI Enumeration Date | 09/28/2006 |
Related Entities
Other providers sharing the same authorized official: NORTON, JULIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
13 |
$815.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$815.32 |