Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Avera at Home

Avera at Home was paid $1.01M by Medicaid between Jan 2018 and Oct 2022, across 3 billing codes. Its largest line is S5130, homemaker services, billed per 15 minutes — 47% of everything it billed.

33Billing provider infoAVERA AT HOME
YANKTON, SD 57078
33aNPI1982824439assigned 04/26/2007
33bProvider typeAdult Care Home Facility
28Total paid$1.01M
24GClaims12,327
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2022

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

$0$10K$20K$30K2018201920202021202220232024
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
2018974$230K
20191,809$233K
20201,744$154K
20214,154$198K
20223,646$196K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5130 Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes 47% 5,846 1,722 $471K
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 28% 2,209 1,120 $281K
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 25% 4,272 1,006 $257K

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)
Same official

Other billing entities under DIELEMAN, SANDRA

Full network →

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