Physician
Avera Queen of Peace
Avera Queen of Peace was paid $284K by Medicaid between Jan 2018 and Oct 2019, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoAVERA QUEEN OF PEACE
MITCHELL, SD 57301
MITCHELL, SD 57301
33aNPI1861639197assigned 01/08/2009
33bProvider typePediatrics Physician
28Total paid$284K
24GClaims11,319
24DCodes billed31
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Pediatrics Physician providers in South Dakota
Rank by total paid#5 of 6
Median peer was paid$765K
This provider vs. median0.4×
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 ROCKWELL, HILARY controls 14+ 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 | 6,270 | $158K | |
| 2019 | 5,049 | $126K |
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 | 34% | 2,711 | 2,216 | $96K |
| 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 | 18% | 947 | 808 | $51K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 725 | 548 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 746 | 661 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.0% | 482 | 451 | $26K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 196 | 181 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 813 | 755 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 341 | 313 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 80 | 78 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 813 | 729 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 95 | 84 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 33 | 28 | $2K |
19 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 84 | $1K |
| 99460 | <1% | 13 | $1K | |
| 99177 | <1% | 71 | $950.56 | |
| 99188 | <1% | 33 | $688.78 | |
| 90686 | <1% | 691 | $673.30 | |
| 90670 | <1% | 504 | $338.22 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $292.16 |
| 90651 | <1% | 62 | $175.14 | |
| 96127 | <1% | 26 | $125.11 | |
| 90633 | <1% | 168 | $116.96 | |
| 90474 | <1% | 13 | $110.85 | |
| 90685 | <1% | 31 | $23.64 | |
| 90461 | 0% | 387 | $0.00 | |
| 90707 | 0% | 105 | $0.00 | |
| 90680 | 0% | 286 | $0.00 | |
| 90723 | 0% | 375 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 90716 | 0% | 105 | $0.00 | |
| 90647 | 0% | 356 | $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 officialROCKWELL, HILARY (REGIONAL PRESIDENT / CEO)
Parent organizationAVERA HEALTH
| Provider | Location | Paid |
|---|---|---|
| Avera Queen of Peace | Mitchell, SD | $233K |
| Avera Queen of Peace | Mitchell, SD | $197K |
| Avera Queen of Peace | Mitchell, SD | $181K |
| Avera Queen of Peace | Mitchell, SD | $172K |
| Avera Queen of Peace | Mitchell, SD | $120K |
| Avera Queen of Peace | Mitchell, SD | $61K |
| Avera Queen of Peace | Mitchell, SD | $43K |
| Avera Queen of Peace | De Smet, SD | $38K |
| Avera Queen of Peace | Mitchell, SD | $26K |
| Avera Queen of Peace | Mitchell, SD | $17K |
| Avera Queen of Peace | Mitchell, SD | $10K |
| Avera Queen of Peace | Mitchell, SD | $7K |
| Avera Queen of Peace | Mitchell, SD | $2K |
| Avera Queen of Peace | Mitchell, SD | $971.76 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.