Avera Marshall
Avera Marshall was paid $92K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 49% of everything it billed.
REDWOOD FALLS, MN 56283
Next to other Optometrist providers in Minnesota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 507 | $4K | |
| 2019 | 510 | $15K | |
| 2020 | 541 | $17K | |
| 2021 | 479 | $16K | |
| 2022 | 488 | $16K | |
| 2023 | 392 | $13K | |
| 2024incomplete | 261 | $11K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 49% | 589 | 566 | $45K |
| 92015 | Determination of refractive state | 20% | 1,569 | 1,507 | $18K |
| V2020 | Frames, purchases | 11% | 481 | 459 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 92 | 91 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.2% | 318 | 301 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.7% | 81 | 80 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | 13 | $461.89 |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 0% | 35 | 32 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Avera Marshall | Marshall, MN | $10.02M |
| Avera Marshall | Marshall, MN | $1.72M |
| Avera Marshall | Marshall, MN | $669K |
| Avera Marshall | Marshall, MN | $381K |
| Avera Tyler | Tyler, MN | $342K |
| Avera Tyler | Tyler, MN | $182K |
| Avera Marshall | Marshall, MN | $132K |
| Avera Marshall | Marshall, MN | $81K |
| Avera Marshall | Marshall, MN | $49K |
| Avera Marshall | Marshall, MN | $47K |
| Avera ST. Luke's | Aberdeen, SD | $45K |
| Avera Marshall | Marshall, MN | $27K |
| Avera Tyler | Lake Benton, MN | $26K |
| Avera Granite Falls | Granite Falls, MN | $21K |
| Avera Marshall | Canby, MN | $6K |
| Avera Marshall | Tracy, MN | $1K |
| Avera Marshall | Marshall, MN | $1K |
| Avera Tyler | Ivanhoe, MN | $313.94 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.