Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AVERA MCKENNAN

NPI: 1750488730 · MILBANK, SD 57252 · Rural Health Clinic/Center · NPI assigned 09/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PLACE, RONALD controls 20+ related entities in our dataset. Read more

$899K
Total Medicaid Paid
16,113
Total Claims
12,226
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPLACE, RONALD (PRESIDENT/CEO)
NPI Enumeration Date09/20/2006

Related Entities

Other providers sharing the same authorized official: PLACE, RONALD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,613 $156K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,372 5,839 $594K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,642 1,353 $116K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 479 348 $39K
36415 Collection of venous blood by venipuncture 944 774 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 670 607 $27K
99308 Subsequent nursing facility care, per day, straightforward 1,175 696 $25K
W0037 1,693 1,693 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity 131 110 $11K
90837 Psychotherapy, 53 minutes with patient 137 72 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 81 69 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 44 42 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 34 28 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 61 56 $3K
90472 Immunization administration, each additional vaccine (list separately) 238 220 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 25 24 $2K
90834 Psychotherapy, 45 minutes with patient 22 12 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 132 74 $1K
90686 67 58 $0.00
90656 27 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) 84 70 $0.00
90715 12 12 $0.00
90633 13 13 $0.00
90734 17 16 $0.00