Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Avera Mckennan

Avera Mckennan was paid $1.03M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 45% of everything it billed.

33Billing provider infoAVERA MCKENNAN
SIOUX FALLS, SD 57108
33aNPI1629499132assigned 12/31/2013
33bProvider typeOccupational Therapist
28Total paid$1.03M
24GClaims43,766
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Occupational Therapist providers in South Dakota

Rank by total paid#2 of 9
Median peer was paid$99K
This provider vs. median10×

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

$0$20K$40K2018201920202021202220232024
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
20184,791$75K
20196,060$105K
20202,855$57K
20215,253$108K
20227,143$139K
20238,175$222K
2024incomplete9,489$325K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 45% 19,325 5,581 $464K
97530 Therapeutic activities, direct patient contact, each 15 minutes 20% 6,321 2,289 $204K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9.9% 6,625 2,264 $102K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 9.8% 5,524 1,792 $101K
97161 8.0% 2,413 2,037 $82K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3.4% 2,648 933 $35K
97113 2.7% 448 133 $28K
97162 <1% 138 120 $7K
97116 <1% 164 55 $3K
97165 <1% 38 30 $1K
92523 <1% 17 12 $1K
97032 <1% 68 28 $619.05
1 more codes
97535 Self-care/home management training, each 15 minutes 0% 37 $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)
Same official

Other billing entities under PLACE, RONALD

Full network →
ProviderLocationPaid
Avera MckennanSioux Falls, SD$6.68M
Avera MckennanSioux Falls, SD$5.34M
Avera MckennanSioux Falls, SD$4.07M
Avera MckennanSioux Falls, SD$3.71M
Avera MckennanSioux Falls, SD$3.24M
Avera MckennanSioux Falls, SD$1.04M
Avera MckennanSioux Falls, SD$902K
Avera MckennanMilbank, SD$899K
Avera MckennanSioux Falls, SD$815K
Avera MckennanSioux Falls, SD$758K
Avera MckennanSioux Falls, SD$545K
Avera MckennanSioux Falls, SD$318K
Avera MckennanRock Rapids, IA$186K
Avera MckennanSioux Falls, SD$156K
Avera MckennanGregory, SD$80K
Avera MckennanMitchell, SD$70K
Avera MckennanSioux Falls, SD$68K
Avera MckennanSioux Falls, SD$54K
Avera MckennanSioux Falls, SD$54K
Avera MckennanFlandreau, SD$53K

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