Avera Marshall
Avera Marshall was paid $81K by Medicaid between Jan 2018 and Jul 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
MARSHALL, MN 56258
Next to other Psychiatry Physician providers in Minnesota
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 563 | $11K | |
| 2019 | 275 | $22K | |
| 2020 | 37 | $4K | |
| 2021 | 200 | $25K | |
| 2022 | 54 | $4K | |
| 2023 | 203 | $15K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 71% | 798 | 765 | $58K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.6% | 142 | 39 | $8K |
| 99223 | Prolong inpt eval add15 m | 7.3% | 46 | 41 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.7% | 236 | 178 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.3% | 70 | 26 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.0% | 28 | 26 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 12 | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Avera Marshall | Marshall, MN | $10.02M |
| Avera Marshall | Marshall, MN | $1.72M |
| Avera Marshall | Marshall, MN | $669K |
| Avera Marshall | Marshall, MN | $381K |
| Avera Tyler | Tyler, MN | $342K |
| Avera Tyler | Tyler, MN | $182K |
| Avera Marshall | Marshall, MN | $132K |
| Avera Marshall | Redwood Falls, MN | $92K |
| Avera Marshall | Marshall, MN | $49K |
| Avera Marshall | Marshall, MN | $47K |
| Avera ST. Luke's | Aberdeen, SD | $45K |
| Avera Marshall | Marshall, MN | $27K |
| Avera Tyler | Lake Benton, MN | $26K |
| Avera Granite Falls | Granite Falls, MN | $21K |
| Avera Marshall | Canby, MN | $6K |
| Avera Marshall | Tracy, MN | $1K |
| Avera Marshall | Marshall, MN | $1K |
| Avera Tyler | Ivanhoe, MN | $313.94 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.