Avera Tyler
Avera Tyler was paid $342K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
TYLER, MN 56178
Next to other Rural Health Clinic/Center providers in Minnesota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 775 | $16K | |
| 2019 | 1,443 | $60K | |
| 2020 | 1,335 | $33K | |
| 2021 | 876 | $49K | |
| 2022 | 937 | $66K | |
| 2023 | 1,457 | $92K | |
| 2024incomplete | 464 | $27K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 70% | 4,295 | 3,044 | $240K |
| 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 | 29% | 1,360 | 894 | $98K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 720 | 419 | $1K |
| Q3014 | Telehealth originating site facility fee | <1% | 225 | 159 | $1K |
| X5622 | <1% | 26 | 13 | $446.70 | |
| 90686 | <1% | 435 | 258 | $414.77 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 47 | 29 | $24.62 |
| 96127 | <1% | 27 | 12 | $4.56 | |
| 99173 | <1% | 28 | 12 | $1.82 | |
| 91300 | 0% | 76 | 70 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 32 | 13 | $0.00 |
| 90656 | 0% | 16 | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Avera Marshall | Marshall, MN | $10.02M |
| Avera Marshall | Marshall, MN | $1.72M |
| Avera Marshall | Marshall, MN | $669K |
| Avera Marshall | Marshall, MN | $381K |
| Avera Tyler | Tyler, MN | $182K |
| Avera Marshall | Marshall, MN | $132K |
| Avera Marshall | Redwood Falls, MN | $92K |
| Avera Marshall | Marshall, MN | $81K |
| Avera Marshall | Marshall, MN | $49K |
| Avera Marshall | Marshall, MN | $47K |
| Avera ST. Luke's | Aberdeen, SD | $45K |
| Avera Marshall | Marshall, MN | $27K |
| Avera Tyler | Lake Benton, MN | $26K |
| Avera Granite Falls | Granite Falls, MN | $21K |
| Avera Marshall | Canby, MN | $6K |
| Avera Marshall | Tracy, MN | $1K |
| Avera Marshall | Marshall, MN | $1K |
| Avera Tyler | Ivanhoe, MN | $313.94 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.