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 $219K by Medicaid between Jan 2018 and Nov 2024, across 12 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 — 61% of everything it billed.

33Billing provider infoAVERA HOME MEDICAL EQUIPMENT, LLC
PIERRE, SD 57501
33aNPI1669548616assigned 11/28/2006
28Total paid$219K
24GClaims4,334
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

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

Rank by total paid#20 of 58
Median peer was paid$71K
This provider vs. median3.1×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018578$42K
2019513$32K
2020370$20K
2021664$28K
2022894$39K
2023675$28K
2024incomplete640$30K
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 61% 1,862 1,716 $134K
T2028 Specialized supply, not otherwise specified, waiver 11% 216 206 $23K
E0570 Nebulizer, with compressor 11% 366 339 $23K
E0601 Continuous positive airway pressure (cpap) device 7.1% 416 384 $16K
E1392 Portable oxygen concentrator, rental 4.2% 458 417 $9K
E0562 Humidifier, heated, used with positive airway pressure device 3.1% 535 482 $7K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 1.7% 158 144 $4K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 49 49 $1K
A7038 Filter, disposable, used with positive airway pressure device <1% 190 179 $1K
A7031 Face mask interface, replacement for full face mask, each <1% 14 12 $506.40
A7035 Headgear used with positive airway pressure device <1% 25 25 $412.78
A7015 Aerosol mask, used with dme nebulizer <1% 45 41 $72.46

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.