Medicaid Provider Spending

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

AVERA MCKENNAN

NPI: 1770558405 · SIOUX FALLS, SD 57108 · Internal Medicine Physician · NPI assigned 02/17/2006

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

Authorized official FLICEK, DAVID controls 20+ related entities in our dataset. Read more

$507K
Total Medicaid Paid
14,341
Total Claims
9,670
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFLICEK, DAVID (CEO/PRESIDENT)
NPI Enumeration Date02/17/2006

Related Entities

Other providers sharing the same authorized official: FLICEK, DAVID

ProviderCityStateTotal Paid
AVERA MCKENNAN SIOUX FALLS SD $9.09M
AVERA MCKENNAN SIOUX FALLS SD $2.56M
AVERA MCKENNAN SIOUX FALLS SD $2.34M
AVERA MCKENNAN SIOUX FALLS SD $2.04M
AVERA MCKENNAN SIOUX FALLS SD $1.86M
AVERA MCKENNAN SIOUX FALLS SD $1.80M
AVERA MCKENNAN SIOUX FALLS SD $1.44M
AVERA MCKENNAN SIOUX FALLS SD $1.38M
AVERA MCKENNAN SIOUX FALLS SD $857K
AVERA MCKENNAN SIOUX FALLS SD $445K
AVERA MCKENNAN GREGORY SD $397K
AVERA MCKENNAN SIOUX FALLS SD $307K
AVERA MCKENNAN SIOUX FALLS SD $280K
AVERA MCKENNAN SIOUX FALLS SD $246K
AVERA MCKENNAN WORTHINGTON MN $240K
AVERA MCKENNAN WINDOM MN $176K
AVERA MCKENNAN SIOUX FALLS SD $104K
AVERA MCKENNAN SIOUX FALLS SD $95K
AVERA MCKENNAN SIOUX FALLS SD $93K
AVERA MCKENNAN SIOUX FALLS SD $62K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,299 $62K
2019 1,835 $50K
2020 752 $23K
2021 2,121 $72K
2022 2,140 $95K
2023 2,349 $97K
2024 2,845 $109K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,155 3,499 $170K
99232 Subsequent hospital care, per day, moderate complexity 4,529 1,399 $140K
W0037 1,297 1,297 $74K
99222 Initial hospital care, per day, moderate complexity 620 573 $47K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,307 1,124 $33K
99308 Subsequent nursing facility care, per day, straightforward 672 507 $15K
99231 Subsequent hospital care, per day, straightforward or low complexity 682 351 $12K
99309 Subsequent nursing facility care, per day, low to moderate complexity 312 256 $9K
99233 Prolong inpt eval add15 m 68 28 $3K
99238 Hospital discharge day management, 30 minutes or less 45 39 $1K
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) 548 499 $941.64
99215 Prolong outpt/office vis 21 15 $884.09
99239 Hospital discharge day management, more than 30 minutes 15 14 $698.13
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 29 $393.31
90686 12 12 $206.64
77080 28 28 $140.01