Supplier
Avera Home Medical Equipment, LLC
Avera Home Medical Equipment, LLC was paid $3.45M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 11% of everything it billed.
33Billing provider infoAVERA HOME MEDICAL EQUIPMENT, LLC
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
33aNPI1902972334assigned 11/28/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$3.45M
24GClaims72,689
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in South Dakota
Rank by total paid#2 of 58
Median peer was paid$71K
This provider vs. median49×
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 DIELEMAN, SANDRA 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 | 6,164 | $284K | |
| 2019 | 7,366 | $308K | |
| 2020 | 7,995 | $402K | |
| 2021 | 11,501 | $546K | |
| 2022 | 13,668 | $646K | |
| 2023 | 14,195 | $668K | |
| 2024incomplete | 11,800 | $598K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 11% | 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 | 10% | 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 | 10% | 2,453 | 1,904 | $353K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 4.6% | 1,327 | 1,248 | $160K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 4.5% | 1,339 | 1,256 | $154K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 4.4% | 1,660 | 1,539 | $153K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 4.3% | 1,534 | 1,406 | $148K |
| E0601 | Continuous positive airway pressure (cpap) device | 3.8% | 4,223 | 3,822 | $131K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 3.7% | 1,264 | 1,180 | $129K |
| A7030 | Full face mask used with positive airway pressure device, each | 3.3% | 1,896 | 1,719 | $113K |
| A7031 | Face mask interface, replacement for full face mask, each | 3.1% | 2,559 | 2,315 | $107K |
| A4335 | Incontinence supply; miscellaneous | 3.0% | 4,500 | 3,991 | $104K |
48 more codes
| 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 | 2.8% | 1,528 | $97K |
| S9977 | Meals, per diem, not otherwise specified | 2.6% | 730 | $91K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 2.5% | 1,516 | $86K |
| E0570 | Nebulizer, with compressor | 2.3% | 2,803 | $81K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 2.3% | 3,048 | $80K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.9% | 1,039 | $64K |
| E0603 | Breast pump, electric (ac and/or dc), any type | 1.7% | 570 | $60K |
| E1392 | Portable oxygen concentrator, rental | 1.7% | 3,417 | $60K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 1.4% | 4,497 | $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 | 1.4% | 75 | $48K |
| T4541 | Incontinence product, disposable underpad, large, each | 1.0% | 1,246 | $36K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 1.0% | 998 | $35K |
| K0001 | Standard wheelchair | 1.0% | 2,124 | $35K |
| A7035 | Headgear used with positive airway pressure device | <1% | 2,126 | $31K |
| E0118 | Crutch substitute, lower leg platform, with or without wheels, each | <1% | 615 | $29K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 669 | $28K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 505 | $28K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 446 | $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) | <1% | 320 | $23K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 3,807 | $22K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 541 | $20K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 1,034 | $19K |
| E1161 | Manual adult size wheelchair, includes tilt in space | <1% | 121 | $13K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | <1% | 121 | $12K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 1,427 | $12K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 794 | $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 | <1% | 148 | $11K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 91 | $10K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 231 | $9K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | <1% | 109 | $9K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 1,108 | $9K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 604 | $8K |
| E0776 | Iv pole | <1% | 1,325 | $5K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 164 | $4K |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 157 | $3K |
| T2029 | Specialized medical equipment, not otherwise specified, waiver | <1% | 14 | $3K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 14 | $2K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | <1% | 26 | $1K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | <1% | 140 | $1K |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 192 | $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.) | <1% | 66 | $593.50 |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 98 | $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 | <1% | 13 | $336.69 |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | <1% | 17 | $303.66 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 50 | $184.21 |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 15 | $172.70 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 72 | $111.83 |
| A4334 | Urinary catheter anchoring device, leg strap, each | <1% | 37 | $109.73 |
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 officialDIELEMAN, SANDRA (PRESIDENT/CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.