Avera at Home
Avera at Home was paid $280K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 88% of everything it billed.
SIOUX FALLS, SD 57105
Next to other Home Health Agency providers in South Dakota
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 | 1,017 | $52K | |
| 2019 | 742 | $26K | |
| 2020 | 598 | $26K | |
| 2021 | 1,129 | $41K | |
| 2022 | 628 | $26K | |
| 2023 | 842 | $55K | |
| 2024incomplete | 1,026 | $55K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 88% | 5,273 | 1,789 | $247K |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 10% | 448 | 97 | $29K |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 1.0% | 77 | 24 | $3K |
| 90686 | <1% | 83 | 83 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 89 | 89 | $610.61 |
| 90694 | 0% | 12 | 12 | $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 Home Medical Equipment, LLC | Sioux Falls, SD | $3.45M |
| Avera at Home | Aberdeen, SD | $1.60M |
| Avera Home Medical Equipment LLC | Marshall, MN | $1.04M |
| Avera at Home | Yankton, SD | $1.01M |
| Avera Home Medical Equipment, LLC | Aberdeen, SD | $911K |
| Avera Home Medical Equipment of Spencer Hospital LLC | Spencer, IA | $601K |
| Avera Home Medical Equipment, LLC | Mitchell, SD | $438K |
| Avera Home Medical Equipment, LLC | Watertown, SD | $432K |
| Avera Home Medical Equipment, LLC | Yankton, SD | $320K |
| Avera Home Medical Equipment, LLC | Estherville, IA | $295K |
| Avera Home Medical Equipment, LLC | Pierre, SD | $219K |
| Avera at Home | Mitchell, SD | $217K |
| Floyd Valley Home Medical Equipment | Le Mars, IA | $123K |
| Avera Home Medical Equipment of Sioux Center | Sioux Center, IA | $117K |
| Avera Home Medical Equipment, LLC | Huron, SD | $57K |
| Avera Home Medical Equipment, LLC | Madison, SD | $41K |
| Avera at Home | Estherville, IA | $27K |
| Avera Home Medical Equipment of Lakes Regional Healthcare, LLC | Spirit Lake, IA | $15K |
| Avera at Home | Yankton, SD | $11K |
| Avera Home Medical Equipment, LLC | Parkston, SD | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.