Physician
Avera Mckennan
Avera Mckennan was paid $1.38M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoAVERA MCKENNAN
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
33aNPI1558337899assigned 02/27/2006
33bProvider typePediatrics Physician
28Total paid$1.38M
24GClaims26,394
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Dakota
Rank by total paid#3 of 6
Median peer was paid$765K
This provider vs. median1.8×
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.
Entity ProliferationAuthorized official FLICEK, DAVID controls 20+ 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 | 3,491 | $211K | |
| 2019 | 3,984 | $234K | |
| 2020 | 2,560 | $129K | |
| 2021 | 4,108 | $202K | |
| 2022 | 4,549 | $171K | |
| 2023 | 3,905 | $196K | |
| 2024incomplete | 3,797 | $242K |
Box 24 · Service lines
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 | 24% | 6,013 | 5,271 | $328K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 2,643 | 2,246 | $203K |
| 99205 | Prolong outpt/office vis | 11% | 1,422 | 1,199 | $159K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 9.1% | 1,478 | 1,190 | $126K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.8% | 1,396 | 1,194 | $122K |
| 93325 | 8.6% | 4,151 | 2,514 | $119K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 7.1% | 1,081 | 836 | $99K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 1,747 | 1,452 | $64K |
| 93320 | 2.7% | 1,102 | 840 | $37K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 506 | 428 | $31K |
| 93304 | 1.7% | 388 | 252 | $24K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.5% | 2,970 | 2,360 | $21K |
14 more codes
| 93321 | <1% | 876 | $11K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 47 | $8K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 73 | $5K |
| 76825 | <1% | 67 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 38 | $5K |
| 99245 | <1% | 28 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 56 | $3K |
| 76827 | <1% | 67 | $3K | |
| 95251 | <1% | 75 | $2K | |
| 93000 | <1% | 74 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 14 | $1K |
| 95813 | <1% | 13 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 30 | $851.61 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 39 | $242.74 |
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 officialFLICEK, DAVID (CEO/PRESIDENT)
| Provider | Location | 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 | $857K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.