AVERA MCKENNAN
NPI: 1588677892
· REVILLO, SD 57259
· Rural Health Clinic/Center
· NPI assigned 08/15/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official FLICEK, DAVID controls 20+ related entities in our dataset. Read more
$120.00
Total Medicaid Paid
Provider Details
| Authorized Official | FLICEK, DAVID (PRESIDENT/CEO) |
| NPI Enumeration Date | 08/15/2006 |
Related Entities
Other providers sharing the same authorized official: FLICEK, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
13 |
$39.00 |
| 2024 |
27 |
$81.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| W0037 |
|
40 |
40 |
$120.00 |