Avera Mckennan
Avera Mckennan was paid $54K by Medicaid between Mar 2019 and Nov 2024, across 10 billing codes. Its largest line is T4527, Adult sized disposable incontinence product, protective underwear/pull-on, large size, each — 50% of everything it billed.
SIOUX FALLS, SD 57107
Next to other Pharmacy 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 | |
|---|---|---|---|
| 2019 | 141 | $2K | |
| 2020 | 224 | $5K | |
| 2021 | 54 | $857.02 | |
| 2022 | 646 | $13K | |
| 2023 | 526 | $12K | |
| 2024incomplete | 598 | $21K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 50% | 950 | 648 | $27K |
| A4335 | Incontinence supply; miscellaneous | 36% | 740 | 621 | $19K |
| Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days | 5.4% | 160 | 157 | $3K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 3.2% | 33 | 26 | $2K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 3.0% | 41 | 39 | $2K |
| A4927 | Gloves, non-sterile, per 100 | 2.8% | 108 | 64 | $2K |
| 0124A | 0% | 46 | 46 | $0.00 | |
| 90694 | 0% | 46 | 46 | $0.00 | |
| 0012A | 0% | 12 | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 53 | 53 | $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 Mckennan | Sioux Falls, SD | $6.68M |
| Avera Mckennan | Sioux Falls, SD | $5.34M |
| Avera Mckennan | Sioux Falls, SD | $4.07M |
| Avera Mckennan | Sioux Falls, SD | $3.71M |
| Avera Mckennan | Sioux Falls, SD | $3.24M |
| Avera Mckennan | Sioux Falls, SD | $1.04M |
| Avera Mckennan | Sioux Falls, SD | $1.03M |
| Avera Mckennan | Sioux Falls, SD | $902K |
| Avera Mckennan | Milbank, SD | $899K |
| Avera Mckennan | Sioux Falls, SD | $815K |
| Avera Mckennan | Sioux Falls, SD | $758K |
| Avera Mckennan | Sioux Falls, SD | $545K |
| Avera Mckennan | Sioux Falls, SD | $318K |
| Avera Mckennan | Rock Rapids, IA | $186K |
| Avera Mckennan | Sioux Falls, SD | $156K |
| Avera Mckennan | Gregory, SD | $80K |
| Avera Mckennan | Mitchell, SD | $70K |
| Avera Mckennan | Sioux Falls, SD | $68K |
| Avera Mckennan | Sioux Falls, SD | $54K |
| Avera Mckennan | Flandreau, SD | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.