Avera Mckennan
Avera Mckennan was paid $1.04M by Medicaid between Jan 2018 and Sep 2024, across 20 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 96% of everything it billed.
SIOUX FALLS, SD 57106
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center 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 | 23,428 | $198K | |
| 2019 | 25,222 | $244K | |
| 2020 | 14,877 | $137K | |
| 2021 | 21,535 | $166K | |
| 2022 | 32,033 | $80K | |
| 2023 | 25,264 | $134K | |
| 2024incomplete | 11,796 | $81K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 96% | 112,758 | 2,052 | $1.00M |
| J2501 | Injection, paricalcitol, 1 mcg | 1.2% | 13,075 | 651 | $13K |
| A9270 | Non-covered item or service | <1% | 4,615 | 660 | $10K |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 16,973 | 766 | $9K |
| J3490 | Unclassified drugs | <1% | 330 | 13 | $5K |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 2,392 | 625 | $716.04 |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | <1% | 3,650 | 802 | $100.86 |
| 84132 | 0% | 25 | 12 | $0.00 | |
| 85018 | 0% | 31 | 24 | $0.00 | |
| 90674 | 0% | 32 | 29 | $0.00 | |
| 82040 | 0% | 14 | 12 | $0.00 | |
| 82565 | 0% | 14 | 12 | $0.00 |
8 more codes
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 | $1.03M |
| 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 | 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.