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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 1356417703 · Aberdeen, 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 Aberdeen, South Dakota. This profile covers 0 Medicare and 18 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
    Address701 8th Ave Nw Ste B
    CityAberdeen
    StateSD
    ZIP57401
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedNovember 28, 2006

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

    Payer SourceTotal Paid
    Medicaid$908.9K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each1,970$110$215.2K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate2,230$70$147K
    A4335Incontinence supply; miscellaneous4,480$30$134.3K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each760$170$126.3K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each1,090$80$90.6K
    A4927Gloves, non-sterile, per 1003,680$20$81K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each590$80$49.9K
    E0601Continuous positive airway pressure (CPAP) device880$30$25.4K
    E1392Portable oxygen concentrator, rental690$20$11.8K
    T4541Incontinence product, disposable underpad, large, each300$40$11.2K

    Showing 1–10 of 18

    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

    18 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 rate1340360$50$88.1K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each410490$60$87.6K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each510400$70$80.5K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each520250$80$79.8K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each510660$100$72.7K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each410170$80$60.9K
    A4335Incontinence supply; miscellaneous430740$30$45.7K
    T4541Incontinence product, disposable underpad, large, each7101,050$30$44.5K
    E0601Continuous positive airway pressure (CPAP) device930110$30$19.6K
    A4927Gloves, non-sterile, per 100110110$20$15.9K

    Showing 1–10 of 18

    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$439.8K
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$431.1K
    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
    Adjustment Training Center, Inc.SDDevelopmentally Disabled Services Day Training Agency$0$40.3M
    Northeastern Mental Health CenterSDMental Health Counselor$0$10.1M
    Vision Care Associates, LLPSDOptometrist$0$6M
    Sanford Health NetworkSDGeneral Acute Care Hospital$0$4.4M
    John BormesSDOphthalmology Physician$2.6M$0
    Avera St. Luke'sSDFamily Medicine Physician$0$2.3M
    Sanford Health NetworkSDGeneral Acute Care Hospital$0$1.9M
    Avera At HomeSDHome Health Agency$0$1.6M
    Avera St LukesSDGeneral Acute Care Hospital$0$1.5M
    Ty HansonSDDermatology Physician$1.2M$0

    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 — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota