Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Avera Marshall

Avera Marshall was paid $10.02M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is 99283, emergency room visit (moderate) — 12% of everything it billed.

33Billing provider infoAVERA MARSHALL
MARSHALL, MN 56258
33aNPI1568401016assigned 06/06/2006
33bProvider typeCritical Access Hospital
28Total paid$10.02M
24GClaims184,081
24DCodes billed124
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in Minnesota

Rank by total paid#4 of 68
Median peer was paid$798K
This provider vs. median13×

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 STREIER, DEBBIE controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201811,651$216K
201918,253$903K
202041,905$1.89M
202162,159$3.28M
202218,936$1.20M
202320,334$1.46M
2024incomplete10,843$1.06M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 12,015 9,936 $1.21M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 10.0% 8,427 6,749 $998K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.4% 17,058 14,688 $839K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8.1% 21,900 19,263 $815K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6.7% 6,527 5,727 $676K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.4% 2,768 1,850 $637K
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 5.7% 7,987 7,126 $574K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4.9% 5,157 1,833 $493K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4.4% 4,155 1,502 $438K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 3.6% 7,614 5,581 $358K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.7% 5,329 4,541 $271K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2.7% 3,549 3,126 $266K
112 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.3% 3,064 $228K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.2% 2,754 $216K
36415 Collection of venous blood by venipuncture 1.9% 10,232 $194K
80053 Comprehensive metabolic panel 1.8% 6,856 $180K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.4% 8,790 $137K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.1% 5,234 $114K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1.1% 1,660 $113K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.0% 861 $103K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,616 $89K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,087 $83K
99215 Doctor's office visit, returning patient (complex) <1% 636 $73K
92587 <1% 754 $64K
99203 Doctor's office visit, new patient (routine) <1% 866 $58K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 670 $54K
90834 Psychotherapy session, about 45 minutes <1% 1,480 $53K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 681 $52K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,167 $46K
J0178 Injection, aflibercept, 1 mg <1% 37 $40K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 451 $38K
J3490 Unclassified drugs <1% 1,409 $36K
92134 <1% 1,499 $31K
67028 Intravitreal injection of a pharmacologic agent <1% 492 $29K
99204 Doctor's office visit, new patient (more involved) <1% 287 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,901 $21K
81001 <1% 1,609 $21K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 229 $19K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 805 $19K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 1,646 $18K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 382 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 169 $15K
87634 <1% 99 $13K
80061 Lipid panel <1% 766 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 353 $13K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 254 $10K
92551 <1% 67 $10K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 311 $10K
92567 <1% 814 $10K
83036 Hemoglobin; glycosylated (A1C) <1% 793 $9K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,797 $9K
84443 Thyroid stimulating hormone (TSH) <1% 516 $9K
X5622 <1% 294 $8K
0240U <1% 41 $7K
90686 <1% 2,296 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 245 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 43 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 230 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 189 $6K
70450 Computed tomography, head or brain; without contrast material <1% 16 $6K
96361 Intravenous infusion, hydration; each additional hour <1% 34 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 38 $6K
92557 <1% 256 $6K
0002A <1% 155 $5K
73630 <1% 50 $4K
0001A <1% 147 $4K
J7030 Infusion, normal saline solution , 1000 cc <1% 159 $4K
85610 <1% 218 $4K
71045 Radiologic examination, chest; single view <1% 58 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 581 $3K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 16 $3K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 188 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 103 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 47 $3K
99383 <1% 36 $3K
A9270 Non-covered item or service <1% 4,544 $3K
84484 <1% 106 $2K
84439 <1% 132 $2K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 32 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 83 $2K
92015 Determination of refractive state <1% 185 $2K
83605 <1% 75 $2K
11721 <1% 78 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 182 $2K
86780 <1% 146 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 59 $1K
83690 <1% 74 $1K
36416 <1% 27 $1K
86803 <1% 57 $1K
96161 <1% 156 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 76 $1K
76819 Fetal biophysical profile; without non-stress testing <1% 27 $973.94
85027 <1% 187 $952.93
J2704 Injection, propofol, 10 mg <1% 38 $887.52
96127 <1% 371 $789.55
97802 <1% 13 $677.96
99238 Hospital discharge day management, 30 minutes or less <1% 14 $566.07
83655 <1% 38 $493.43
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 13 $401.77
93041 <1% 32 $347.66
99188 <1% 326 $342.39
80048 Basic metabolic panel (calcium, ionized) <1% 42 $298.95
90473 <1% 123 $289.12
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 $201.53
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 69 $170.12
87340 <1% 13 $152.76
Q3014 Telehealth originating site facility fee <1% 13 $85.36
82950 <1% 13 $73.79
85018 <1% 23 $46.52
90461 <1% 18 $42.99
94761 <1% 14 $36.09
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 56 $25.25
90633 <1% 73 $16.16
90474 <1% 12 $7.75
90647 0% 251 $0.00
90680 0% 128 $0.00
90723 0% 280 $0.00
90651 0% 33 $0.00
90670 0% 623 $0.00
90715 0% 31 $0.00
90710 0% 28 $0.00
99173 0% 85 $0.00
90734 0% 33 $0.00
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 0% 17 $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.

From NPPES

Who's on the registration

Authorized officialSTREIER, DEBBIE (CEO)
Same official

Other billing entities under STREIER, DEBBIE

Full network →
ProviderLocationPaid
Avera MarshallMarshall, MN$1.72M
Avera MarshallMarshall, MN$669K
Avera MarshallMarshall, MN$381K
Avera TylerTyler, MN$342K
Avera TylerTyler, MN$182K
Avera MarshallMarshall, MN$132K
Avera MarshallRedwood Falls, MN$92K
Avera MarshallMarshall, MN$81K
Avera MarshallMarshall, MN$49K
Avera MarshallMarshall, MN$47K
Avera ST. Luke'sAberdeen, SD$45K
Avera MarshallMarshall, MN$27K
Avera TylerLake Benton, MN$26K
Avera Granite FallsGranite Falls, MN$21K
Avera MarshallCanby, MN$6K
Avera MarshallTracy, MN$1K
Avera MarshallMarshall, MN$1K
Avera TylerIvanhoe, MN$313.94

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.