Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Avera Mckennan

Avera Mckennan was paid $139K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider infoAVERA MCKENNAN
WINNER, SD 57580
33aNPI1912959495assigned 05/16/2006
28Total paid$139K
24GClaims2,373
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in South Dakota

Rank by total paid#20 of 42
Median peer was paid$131K
This provider vs. median1.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018399$23K
2019557$28K
2020282$18K
2021362$27K
2022237$19K
2023313$16K
2024incomplete223$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 89% 1,855 1,154 $124K
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 10% 178 147 $14K
W0037 <1% 325 325 $975.00
90686 <1% 15 12 $112.35

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 officialNORTON, JULIE (CONTROLLER)
Same official

Other billing entities under NORTON, JULIE

Full network →
ProviderLocationPaid
Avera MckennanSioux Falls, SD$10.61M
Avera MckennanFlandreau, SD$394K
Avera MckennanWorthington, MN$332K
Avera MckennanSibley, IA$159K
Avera MckennanDell Rapids, SD$141K
Brookings Health System/Avera Home Medical Equipment LLCBrookings, SD$50K
Avera MckennanMiller, SD$9K
Avera MckennanChamberlain, SD$3K
Avera MckennanBig Stone City, SD$815.32
Avera MckennanLarchwood, IA$464.26

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.