Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1508387820 · SIOUX FALLS, SD 57108 · Infectious Disease Physician · NPI assigned 06/28/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$857K
Total Medicaid Paid
17,376
Total Claims
8,228
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (CEO/PRESIDENT)
NPI Enumeration Date06/28/2017

Related Entities

Other providers sharing the same authorized official: FLICEK, DAVID

ProviderCityStateTotal 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 $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 $104K
AVERA MCKENNAN SIOUX FALLS SD $95K
AVERA MCKENNAN SIOUX FALLS SD $93K
AVERA MCKENNAN SIOUX FALLS SD $62K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,694 $124K
2019 2,516 $100K
2020 1,685 $73K
2021 3,185 $134K
2022 2,500 $118K
2023 2,375 $140K
2024 2,421 $168K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 6,595 2,092 $305K
99223 Prolong inpt eval add15 m 2,596 2,326 $233K
99232 Subsequent hospital care, per day, moderate complexity 6,325 2,233 $231K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,327 1,132 $60K
99215 Prolong outpt/office vis 473 389 $24K
99255 15 13 $2K
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth 16 16 $788.11
99222 Initial hospital care, per day, moderate complexity 13 12 $768.32
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16 15 $464.27