NP / PA
Avera ST Anthonys Hospital
Avera ST Anthonys Hospital was paid $2.27M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoAVERA ST ANTHONYS HOSPITAL
ONEILL, NE 68763
ONEILL, NE 68763
33aNPI1861787194assigned 06/15/2011
33bProvider typePhysician Assistant
28Total paid$2.27M
24GClaims24,397
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Nebraska
Rank by total paid#1 of 17
Median peer was paid$29K
This provider vs. median78×
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.
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 | 3,822 | $298K | |
| 2019 | 3,455 | $267K | |
| 2020 | 3,002 | $242K | |
| 2021 | 3,815 | $354K | |
| 2022 | 3,804 | $387K | |
| 2023 | 3,427 | $404K | |
| 2024incomplete | 3,072 | $313K |
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 | 73% | 15,753 | 13,066 | $1.64M |
| 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 | 25% | 4,726 | 4,277 | $561K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 122 | 122 | $14K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,819 | 1,700 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 107 | 101 | $10K |
| 90686 | <1% | 580 | 572 | $9K | |
| 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) | <1% | 659 | 587 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 37 | 37 | $3K |
| 99307 | <1% | 332 | 282 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 79 | 72 | $2K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 19 | 19 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | 27 | $511.40 |
5 more codes
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 officialCONSBRUCK, TODD (CEO)
Parent organizationAVERA ST ANTHONYS HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Avera ST Anthonys Hospital | O'neill, NE | $1.56M |
| City of Sleepy Eye | Sleepy Eye, MN | $1.34M |
| City of Sleepy Eye | Sleepy Eye, MN | $338K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.