Clinic
Avera Mckennan
Avera Mckennan was paid $899K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoAVERA MCKENNAN
MILBANK, SD 57252
MILBANK, SD 57252
33aNPI1750488730assigned 09/20/2006
33bProvider typeRural Health Clinic/Center
28Total paid$899K
24GClaims16,113
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Dakota
Rank by total paid#6 of 42
Median peer was paid$131K
This provider vs. median6.9×
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 PLACE, RONALD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,576 | $153K | |
| 2019 | 3,036 | $174K | |
| 2020 | 1,825 | $88K | |
| 2021 | 1,606 | $94K | |
| 2022 | 1,733 | $94K | |
| 2023 | 2,724 | $139K | |
| 2024incomplete | 2,613 | $156K |
Box 24 · Service lines
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 | 66% | 8,372 | 5,839 | $594K |
| 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 | 13% | 1,642 | 1,353 | $116K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 479 | 348 | $39K |
| 36415 | Collection of venous blood by venipuncture | 3.9% | 944 | 774 | $35K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 670 | 607 | $27K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.8% | 1,175 | 696 | $25K |
| W0037 | 1.6% | 1,693 | 1,693 | $15K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.2% | 131 | 110 | $11K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.2% | 137 | 72 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 81 | 69 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 44 | 42 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 34 | 28 | $3K |
12 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 61 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 238 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 25 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 22 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 132 | $1K |
| 90686 | 0% | 67 | $0.00 | |
| 90656 | 0% | 27 | $0.00 | |
| 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) | 0% | 84 | $0.00 |
| 90715 | 0% | 12 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90734 | 0% | 17 | $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.
From NPPES
Who's on the registration
Authorized officialPLACE, RONALD (PRESIDENT/CEO)
| 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 | 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.