Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › SALEM › AVERA QUEEN OF PEACE

AVERA QUEEN OF PEACE

NPI: 1639174568 · SALEM, SD 57058 · Rural Health Clinic/Center · NPI assigned 06/16/2005

$2K
Total Medicaid Paid
14
Total Claims
13
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialEKEREN, DOUGLAS (PRESIDENT/CEO)
NPI Enumeration Date06/16/2005

Related Entities

Other providers sharing the same authorized official: EKEREN, DOUGLAS

ProviderCityStateTotal Paid
AVERA QUEEN OF PEACE MITCHELL SD $1.27M
AVERA QUEEN OF PEACE MITCHELL SD $802K
AVERA QUEEN OF PEACE MITCHELL SD $286K
SACRED HEART HEALTH SERVICES CREIGHTON NE $273K
SACRED HEART HEALTH SERVICES YANKTON SD $76K
SACRED HEART HEALTH SERVICES YANKTON SD $46K
SACRED HEART HEALTH SERVICES CREIGHTON NE $11K
SACRED HEART HEALTH SERVICES YANKTON SD $7K
AVERA QUEEN OF PEACE DE SMET SD $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 13 $2K