AVERA MCKENNAN
NPI: 1851491690
· WINDOM, MN 56101
· Family Medicine Physician
· NPI assigned 09/22/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official FLICEK, DAVID controls 20+ related entities in our dataset. Read more
$176K
Total Medicaid Paid
Provider Details
| Authorized Official | FLICEK, DAVID (PRESIDENT/CEO) |
| Parent Organization | AVERA MCKENNAN |
| NPI Enumeration Date | 09/22/2006 |
Related Entities
Other providers sharing the same authorized official: FLICEK, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,962 |
$36K |
| 2019 |
3,715 |
$92K |
| 2020 |
1,379 |
$41K |
| 2021 |
221 |
$3K |
| 2022 |
318 |
$2K |
| 2023 |
40 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,939 |
2,509 |
$105K |
| 99214 |
|
271 |
242 |
$12K |
| 90471 |
|
786 |
757 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
613 |
591 |
$11K |
| 87502 |
|
82 |
81 |
$7K |
| 87651 |
|
144 |
135 |
$5K |
| 90472 |
|
225 |
216 |
$3K |
| 96110 |
|
656 |
626 |
$3K |
| 87635 |
|
51 |
51 |
$3K |
| 36415 |
|
1,290 |
1,088 |
$3K |
| 99391 |
|
40 |
40 |
$2K |
| X5622 |
|
525 |
514 |
$2K |
| V5008 |
Hearing screening |
378 |
367 |
$2K |
| 90686 |
|
262 |
256 |
$1K |
| 99238 |
|
27 |
26 |
$1K |
| 99188 |
|
88 |
85 |
$968.88 |
| 87426 |
|
20 |
20 |
$718.76 |
| 81001 |
|
322 |
288 |
$695.25 |
| 99173 |
|
605 |
584 |
$678.58 |
| 92552 |
|
43 |
43 |
$662.34 |
| 0241U |
|
12 |
12 |
$427.53 |
| 85027 |
|
65 |
64 |
$419.61 |
| 96161 |
|
31 |
28 |
$70.73 |
| 81003 |
|
17 |
13 |
$38.25 |
| 85018 |
|
12 |
12 |
$28.44 |
| 87880 |
|
84 |
81 |
$16.53 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90633 |
|
17 |
16 |
$0.00 |
| 87804 |
|
18 |
16 |
$0.00 |