NP / PA
Avera Mckennan
Avera Mckennan was paid $545K by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is 00731, — 22% of everything it billed.
33Billing provider infoAVERA MCKENNAN
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
33aNPI1568662872assigned 07/24/2007
33bProvider typeCertified Registered Nurse Anesthetist
28Total paid$545K
24GClaims20,107
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Certified Registered Nurse Anesthetist providers in South Dakota
Rank by total paid#3 of 7
Median peer was paid$26K
This provider vs. median21×
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 PLACE, RONALD 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 | 114 | $3K | |
| 2019 | 96 | $1K | |
| 2020 | 16,354 | $274K | |
| 2021 | 1,163 | $83K | |
| 2022 | 796 | $63K | |
| 2023 | 666 | $49K | |
| 2024incomplete | 918 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00731 | 22% | 1,812 | 1,672 | $120K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 17% | 979 | 939 | $93K |
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 5.3% | 2,753 | 67 | $29K |
| 00813 | 4.5% | 288 | 282 | $25K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 4.4% | 2,026 | 828 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 1,350 | 1,078 | $23K |
| 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 | 3.9% | 1,035 | 769 | $21K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 3.5% | 1,150 | 104 | $19K |
| 36620 | 2.9% | 347 | 270 | $16K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.6% | 381 | 56 | $14K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.3% | 886 | 347 | $13K |
| 00811 | 1.9% | 185 | 172 | $10K |
93 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.6% | 445 | $9K |
| 99223 | Prolong inpt eval add15 m | 1.3% | 163 | $7K |
| 01961 | 1.1% | 47 | $6K | |
| 99285 | Emergency room visit (most serious) | 1.1% | 245 | $6K |
| 90837 | Psychotherapy session, about an hour | 1.1% | 220 | $6K |
| 01480 | <1% | 81 | $5K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 171 | $5K |
| 00790 | <1% | 39 | $5K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 66 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 46 | $4K |
| 99283 | Emergency room visit (moderate) | <1% | 242 | $4K |
| G0008 | Administration of influenza virus vaccine | <1% | 502 | $4K |
| A9270 | Non-covered item or service | <1% | 266 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 278 | $4K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 101 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 107 | $3K |
| 00840 | <1% | 27 | $3K | |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 113 | $3K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 33 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 139 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 99 | $2K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 230 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 139 | $2K |
| 90961 | <1% | 39 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 69 | $2K |
| 31500 | <1% | 17 | $2K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 140 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 119 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 61 | $2K |
| 36410 | <1% | 125 | $1K | |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 15 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 225 | $1K |
| 71045 | Radiologic examination, chest; single view | <1% | 481 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 116 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 83 | $1K |
| 20610 | <1% | 41 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 34 | $1K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 84 | $1K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 45 | $974.34 |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 41 | $966.72 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 29 | $960.97 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 131 | $944.88 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 46 | $937.09 |
| A0425 | Ground mileage, per statute mile | <1% | 31 | $818.99 |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 14 | $795.62 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 71 | $754.64 |
| 01810 | <1% | 12 | $744.57 | |
| 01830 | <1% | 12 | $733.16 | |
| 00812 | <1% | 12 | $598.50 | |
| 00400 | <1% | 14 | $594.91 | |
| 99221 | <1% | 33 | $591.34 | |
| 97161 | <1% | 45 | $586.10 | |
| 93971 | <1% | 25 | $578.34 | |
| 99442 | <1% | 54 | $543.25 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 33 | $541.92 |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 27 | $539.85 |
| 73030 | <1% | 29 | $521.62 | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 35 | $506.48 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 21 | $493.56 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 47 | $488.48 |
| 99205 | Prolong outpt/office vis | <1% | 14 | $460.34 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 21 | $397.14 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 31 | $376.06 |
| Q3014 | Telehealth originating site facility fee | <1% | 71 | $341.12 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 15 | $328.31 |
| 93296 | <1% | 37 | $309.52 | |
| 11721 | <1% | 38 | $287.37 | |
| 93970 | <1% | 17 | $273.51 | |
| 99443 | <1% | 14 | $254.97 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $235.75 |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 14 | $209.56 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 15 | $177.55 |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 14 | $169.52 |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 12 | $137.61 |
| 73502 | <1% | 17 | $124.15 | |
| E1392 | Portable oxygen concentrator, rental | <1% | 16 | $119.49 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 30 | $111.46 |
| 94729 | <1% | 16 | $81.22 | |
| 73630 | <1% | 32 | $77.31 | |
| A7035 | Headgear used with positive airway pressure device | <1% | 13 | $67.00 |
| 74018 | <1% | 31 | $56.73 | |
| 99441 | <1% | 17 | $51.36 | |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 13 | $49.54 |
| 99152 | <1% | 17 | $34.16 | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 17 | $31.62 |
| 11720 | <1% | 13 | $31.53 | |
| 85048 | 0% | 15 | $0.00 | |
| 85041 | 0% | 15 | $0.00 | |
| 83970 | 0% | 13 | $0.00 | |
| A4657 | Syringe, with or without needle, each | 0% | 16 | $0.00 |
| Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | 0% | 16 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $0.00 |
| J1270 | Injection, doxercalciferol, 1 mcg | 0% | 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.
From NPPES
Who's on the registration
Authorized officialPLACE, RONALD (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Avera Mckennan | Sioux Falls, SD | $6.68M |
| Avera Mckennan | Sioux Falls, SD | $5.34M |
| Avera Mckennan | Sioux Falls, SD | $4.07M |
| Avera Mckennan | Sioux Falls, SD | $3.71M |
| Avera Mckennan | Sioux Falls, SD | $3.24M |
| Avera Mckennan | Sioux Falls, SD | $1.04M |
| Avera Mckennan | Sioux Falls, SD | $1.03M |
| Avera Mckennan | Sioux Falls, SD | $902K |
| Avera Mckennan | Milbank, SD | $899K |
| Avera Mckennan | Sioux Falls, SD | $815K |
| Avera Mckennan | Sioux Falls, SD | $758K |
| Avera Mckennan | Sioux Falls, SD | $318K |
| Avera Mckennan | Rock Rapids, IA | $186K |
| Avera Mckennan | Sioux Falls, SD | $156K |
| Avera Mckennan | Gregory, SD | $80K |
| Avera Mckennan | Mitchell, SD | $70K |
| Avera Mckennan | Sioux Falls, SD | $68K |
| Avera Mckennan | Sioux Falls, SD | $54K |
| Avera Mckennan | Sioux Falls, SD | $54K |
| Avera Mckennan | Flandreau, SD | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.