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

    NPI 1194891168 · Yankton, SD · Durable Medical Equipment & Medical Supplies

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    Avera Home Medical Equipment, LLC is a durable medical equipment & medical supplies provider located in Yankton, South Dakota. This profile covers 0 Medicare and 16 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAvera Home Medical Equipment, LLC
    Address1001 W 9th St
    CityYankton
    StateSD
    ZIP57078
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedNovember 28, 2006

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

    Payer SourceTotal Paid
    Medicaid$319.5K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate2,580$70$175.4K
    E0601Continuous positive airway pressure (CPAP) device1,610$30$46.6K
    A4335Incontinence supply; miscellaneous970$30$30K
    E1392Portable oxygen concentrator, rental950$20$21K
    E0562Humidifier, heated, used with positive airway pressure device1,540$10$15.4K
    A4604Tubing with integrated heating element for use with positive airway pressure device410$30$10.3K
    T4541Incontinence product, disposable underpad, large, each170$30$5.5K
    A7038Filter, disposable, used with positive airway pressure device910$10$4.5K
    A7031Face mask interface, replacement for full face mask, each90$40$3.6K
    A7035Headgear used with positive airway pressure device190$20$2.9K

    Showing 1–10 of 16

    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

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate1240360$50$88.1K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each1310490$60$87.6K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each1310400$70$80.5K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each1420250$80$79.8K
    A4335Incontinence supply; miscellaneous1230740$30$45.7K
    T4541Incontinence product, disposable underpad, large, each8101,050$30$44.5K
    E0601Continuous positive airway pressure (CPAP) device530110$30$19.6K
    A7030Full face mask used with positive airway pressure device, each122020$60$13.1K
    E1392Portable oxygen concentrator, rental520180$20$11K
    A7031Face mask interface, replacement for full face mask, each72040$40$10.3K

    Showing 1–10 of 16

    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$431.1K
    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
    Ability Building Services, Inc.SDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$39.2M
    Lewis & Clark Behavioral Health Services, Inc.SDCommunity/Behavioral Health Agency$0$24M
    Yankton Medical Clinic PCSDInternal Medicine Physician$0$6.3M
    Yankton PhSDAssisted Living Facility (Mental Illness)$0$4.1M
    Cedar Vilage Assisted Living CenterSDAssisted Living Facility (Mental Illness)$0$2.4M
    Heartland Psychological ServicesSDPsychiatry Physician$0$1.3M
    Avera At HomeSDHome Health Agency$0$1M
    Sacred Heart Health ServicesSDRural Acute Care Hospital$0$942.8K
    Mary Lee VillanuevaSDHematology & Oncology Physician$788.7K$0
    Sacred Heart Health ServicesSDEmergency Care Clinic/Center$0$766.6K

    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 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota