Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1558337899 · SIOUX FALLS, SD 57105 · Pediatrics Physician · NPI assigned 02/27/2006

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

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

$1.38M
Total Medicaid Paid
26,394
Total Claims
20,686
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (CEO/PRESIDENT)
NPI Enumeration Date02/27/2006

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,797 $242K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,013 5,271 $328K
99215 Prolong outpt/office vis 2,643 2,246 $203K
99205 Prolong outpt/office vis 1,422 1,199 $159K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,478 1,190 $126K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,396 1,194 $122K
93325 4,151 2,514 $119K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,081 836 $99K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,747 1,452 $64K
93320 1,102 840 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 506 428 $31K
93304 388 252 $24K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,970 2,360 $21K
93321 876 446 $11K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 47 39 $8K
99239 Hospital discharge day management, more than 30 minutes 73 61 $5K
76825 67 37 $5K
99222 Initial hospital care, per day, moderate complexity 38 37 $5K
99245 28 26 $4K
99232 Subsequent hospital care, per day, moderate complexity 56 31 $3K
76827 67 37 $3K
95251 75 64 $2K
93000 74 59 $1K
99233 Prolong inpt eval add15 m 14 13 $1K
95813 13 12 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 30 14 $851.61
83036 Hemoglobin; glycosylated (A1C) 39 28 $242.74