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

Avera Home Medical Equipment, LLC

Avera Home Medical Equipment, LLC was paid $438K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 18% of everything it billed.

33Billing provider infoAVERA HOME MEDICAL EQUIPMENT, LLC
MITCHELL, SD 57301
33aNPI1588730600assigned 11/28/2006
28Total paid$438K
24GClaims10,474
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in South Dakota

Rank by total paid#13 of 58
Median peer was paid$71K
This provider vs. median6.2×

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 DIELEMAN, SANDRA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2018432$35K
20191,051$69K
2020835$38K
20211,458$54K
20221,961$71K
20232,027$73K
2024incomplete2,710$98K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 18% 1,333 1,263 $80K
A4335 Incontinence supply; miscellaneous 17% 1,785 1,659 $76K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 9.7% 563 525 $42K
T2028 Specialized supply, not otherwise specified, waiver 8.7% 347 325 $38K
E0601 Continuous positive airway pressure (cpap) device 8.0% 966 918 $35K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 6.5% 258 249 $29K
A7031 Face mask interface, replacement for full face mask, each 5.8% 556 530 $25K
E0570 Nebulizer, with compressor 5.5% 503 486 $24K
A4604 Tubing with integrated heating element for use with positive airway pressure device 4.1% 657 628 $18K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 2.5% 61 49 $11K
E1392 Portable oxygen concentrator, rental 2.4% 621 578 $10K
E0562 Humidifier, heated, used with positive airway pressure device 2.2% 846 785 $10K
9 more codes
A7030 Full face mask used with positive airway pressure device, each 1.9% 121 $8K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 1.7% 90 $7K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 1.7% 132 $7K
A7038 Filter, disposable, used with positive airway pressure device 1.6% 1,164 $7K
A7035 Headgear used with positive airway pressure device <1% 252 $4K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 129 $3K
A4927 Gloves, non-sterile, per 100 <1% 34 $981.51
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 17 $710.89
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 39 $243.33

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 officialDIELEMAN, SANDRA (PRESIDENT/CEO)
Same official

Other billing entities under DIELEMAN, SANDRA

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