Medicaid Provider Spending

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

AVERA HOME MEDICAL EQUIPMENT, LLC

NPI: 1902972334 · SIOUX FALLS, SD 57108 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/28/2006

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

Authorized official DIELEMAN, SANDRA controls 20+ related entities in our dataset. Read more

$3.45M
Total Medicaid Paid
72,689
Total Claims
64,979
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDIELEMAN, SANDRA (PRESIDENT/CEO)
NPI Enumeration Date11/28/2006

Related Entities

Other providers sharing the same authorized official: DIELEMAN, SANDRA

ProviderCityStateTotal Paid
AVERA AT HOME ABERDEEN SD $1.60M
AVERA HOME MEDICAL EQUIPMENT LLC MARSHALL MN $1.04M
AVERA AT HOME YANKTON SD $1.01M
AVERA HOME MEDICAL EQUIPMENT, LLC ABERDEEN SD $911K
AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC SPENCER IA $601K
AVERA HOME MEDICAL EQUIPMENT, LLC MITCHELL SD $438K
AVERA HOME MEDICAL EQUIPMENT, LLC WATERTOWN SD $432K
AVERA HOME MEDICAL EQUIPMENT, LLC YANKTON SD $320K
AVERA HOME MEDICAL EQUIPMENT, LLC ESTHERVILLE IA $295K
AVERA AT HOME SIOUX FALLS SD $280K
AVERA HOME MEDICAL EQUIPMENT, LLC PIERRE SD $219K
AVERA AT HOME MITCHELL SD $217K
FLOYD VALLEY HOME MEDICAL EQUIPMENT LE MARS IA $123K
AVERA HOME MEDICAL EQUIPMENT OF SIOUX CENTER SIOUX CENTER IA $117K
AVERA HOME MEDICAL EQUIPMENT, LLC HURON SD $57K
AVERA HOME MEDICAL EQUIPMENT, LLC MADISON SD $41K
AVERA AT HOME ESTHERVILLE IA $27K
AVERA HOME MEDICAL EQUIPMENT OF LAKES REGIONAL HEALTHCARE, LLC SPIRIT LAKE IA $15K
AVERA AT HOME YANKTON SD $11K
AVERA HOME MEDICAL EQUIPMENT, LLC PARKSTON SD $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,164 $284K
2019 7,366 $308K
2020 7,995 $402K
2021 11,501 $546K
2022 13,668 $646K
2023 14,195 $668K
2024 11,800 $598K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 6,444 6,069 $366K
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 2,682 2,099 $356K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 2,453 1,904 $353K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 1,327 1,248 $160K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 1,339 1,256 $154K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 1,660 1,539 $153K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 1,534 1,406 $148K
E0601 Continuous positive airway pressure (cpap) device 4,223 3,822 $131K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 1,264 1,180 $129K
A7030 Full face mask used with positive airway pressure device, each 1,896 1,719 $113K
A7031 Face mask interface, replacement for full face mask, each 2,559 2,315 $107K
A4335 Incontinence supply; miscellaneous 4,500 3,991 $104K
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1,528 1,069 $97K
S9977 Meals, per diem, not otherwise specified 730 639 $91K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 1,516 1,380 $86K
E0570 Nebulizer, with compressor 2,803 2,621 $81K
A4604 Tubing with integrated heating element for use with positive airway pressure device 3,048 2,778 $80K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1,039 730 $64K
E0603 Breast pump, electric (ac and/or dc), any type 570 506 $60K
E1392 Portable oxygen concentrator, rental 3,417 3,246 $60K
E0562 Humidifier, heated, used with positive airway pressure device 4,497 4,037 $50K
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 75 64 $48K
T4541 Incontinence product, disposable underpad, large, each 1,246 1,169 $36K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other 998 674 $35K
K0001 Standard wheelchair 2,124 1,867 $35K
A7035 Headgear used with positive airway pressure device 2,126 1,936 $31K
E0118 Crutch substitute, lower leg platform, with or without wheels, each 615 564 $29K
E0143 Walker, folding, wheeled, adjustable or fixed height 669 631 $28K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 505 400 $28K
B9002 Enteral nutrition infusion pump, any type 446 380 $27K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 320 288 $23K
A7038 Filter, disposable, used with positive airway pressure device 3,807 3,416 $22K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 541 500 $20K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 1,034 957 $19K
E1161 Manual adult size wheelchair, includes tilt in space 121 116 $13K
T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each 121 114 $12K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 1,427 1,304 $12K
A4927 Gloves, non-sterile, per 100 794 708 $11K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 148 113 $11K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each 91 85 $10K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 231 218 $9K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 109 86 $9K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each 1,108 1,039 $9K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 604 551 $8K
E0776 Iv pole 1,325 1,253 $5K
A7032 Cushion for use on nasal mask interface, replacement only, each 164 150 $4K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 157 149 $3K
T2029 Specialized medical equipment, not otherwise specified, waiver 14 12 $3K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 14 12 $2K
K0823 Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds 26 24 $1K
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each 140 136 $1K
A4358 Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each 192 180 $839.77
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 66 61 $593.50
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 98 89 $566.89
K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes 13 12 $336.69
A9999 Miscellaneous dme supply or accessory, not otherwise specified 17 12 $303.66
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 50 41 $184.21
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 15 12 $172.70
A7015 Aerosol mask, used with dme nebulizer 72 66 $111.83
A4334 Urinary catheter anchoring device, leg strap, each 37 36 $109.73