Physician
Avera Mckennan
Avera Mckennan was paid $176K by Medicaid between Jan 2018 and Jun 2023, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoAVERA MCKENNAN
WINDOM, MN 56101
WINDOM, MN 56101
33aNPI1851491690assigned 09/22/2006
33bProvider typeFamily Medicine Physician
28Total paid$176K
24GClaims9,635
24DCodes billed29
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Family Medicine Physician providers in Minnesota
Rank by total paid#52 of 126
Median peer was paid$73K
This provider vs. median2.4×
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 FLICEK, DAVID 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 | 3,962 | $36K | |
| 2019 | 3,715 | $92K | |
| 2020 | 1,379 | $41K | |
| 2021 | 221 | $3K | |
| 2022 | 318 | $2K | |
| 2023 | 40 | $1K |
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 | 60% | 2,939 | 2,509 | $105K |
| 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 | 6.8% | 271 | 242 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.4% | 786 | 757 | $11K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 6.2% | 613 | 591 | $11K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.2% | 82 | 81 | $7K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.0% | 144 | 135 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 225 | 216 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 656 | 626 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 51 | 51 | $3K |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 1,290 | 1,088 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 40 | 40 | $2K |
| X5622 | 1.0% | 525 | 514 | $2K |
17 more codes
| V5008 | Hearing screening | 1.0% | 378 | $2K |
| 90686 | <1% | 262 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $1K |
| 99188 | <1% | 88 | $968.88 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 20 | $718.76 |
| 81001 | <1% | 322 | $695.25 | |
| 99173 | <1% | 605 | $678.58 | |
| 92552 | <1% | 43 | $662.34 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 12 | $427.53 |
| 85027 | <1% | 65 | $419.61 | |
| 96161 | <1% | 31 | $70.73 | |
| 81003 | <1% | 17 | $38.25 | |
| 85018 | <1% | 12 | $28.44 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 84 | $16.53 |
| 90670 | 0% | 12 | $0.00 | |
| 90633 | 0% | 17 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 18 | $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 officialFLICEK, DAVID (PRESIDENT/CEO)
Parent organizationAVERA MCKENNAN
| Provider | Location | 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 | $507K |
| 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 | Sioux Falls, SD | $104K |
| Avera Mckennan | Sioux Falls, SD | $95K |
| Avera Mckennan | Sioux Falls, SD | $93K |
| Avera Mckennan | Sioux Falls, SD | $62K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.