Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAvera Home Medical Equipment, LLC
    Ask Trek AI about this page

    Avera Home Medical Equipment, LLC — Billing Profile & Reimbursement Data

    NPI 1144396102 · Watertown, SD · Durable Medical Equipment & Medical Supplies

    Customize your policy alerts

    Sign up for Avera Home Medical Equipment, LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Avera Home Medical Equipment, LLC is a durable medical equipment & medical supplies provider located in Watertown, South Dakota. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAvera Home Medical Equipment, LLC
    Address1508 4th St Ne
    CityWatertown
    StateSD
    ZIP57201
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedNovember 28, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$431.1K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate2,090$70$137.7K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape560$240$132.3K
    A4335Incontinence supply; miscellaneous990$50$52.7K
    T2028Specialized supply, not otherwise specified, waiver430$100$42.9K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each490$40$21.2K
    E1392Portable oxygen concentrator, rental740$20$14.8K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each100$110$10.9K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each160$70$10.3K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each70$70$5K
    B4160Enteral 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,…20$180$3.3K

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. South Dakota median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2028Specialized supply, not otherwise specified, waiver2530910$50$169.8K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape410280$130$151.4K
    B4160Enteral 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,…510180$140$120.4K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate1440360$50$88.1K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each710490$60$87.6K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each1110400$70$80.5K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each1020250$80$79.8K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each910170$80$60.9K
    A4335Incontinence supply; miscellaneous1130740$30$45.7K
    E1392Portable oxygen concentrator, rental620180$20$11K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Avera Home Medical Equipment, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$3.4M
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$908.9K
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$439.8K
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$319.5K
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$219.3K
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$56.8K
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$41.4K

    Nearby Providers

    Other providers in the same ZIP code as Avera Home Medical Equipment, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Human Service AgencySDAddiction (Substance Use Disorder) Counselor$0$39M
    Brown Clinic PllpSDFamily Medicine Physician$0$3.1M
    Thane Evans Crump Dds PCSDEndodontics$0$2.3M
    Human Service AgencySDCase Management Agency$0$2.3M
    Sanford ClinicSDFamily Medicine Physician$0$2M
    Prairie Lakes Health Care System IncSDRural Acute Care Hospital$0$2M
    Prairie Lakes Home ConnectionsSDSupports Brokerage Agency$0$1.2M
    Big Stone Therapies Watertown, LLCSDPhysical Therapy Clinic/Center$0$1.1M
    City Of WatertownSDLand Ambulance$475.4K$390.4K
    Bridgeway Counseling Center Inc.SDPsychologist$0$813.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Dakota Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Dakota Distribution
    Avera Home Medical Equipment, LLC — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota