LEECH LAKE OPIATE TREATMENT PROGRAM
NPI: 1053478164
· CASS LAKE, MN 56633
· Preferred Provider Organization
· NPI assigned 01/02/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code H0047 with only 2 total codes billed. Highly concentrated billing profile.
$28.26M
Total Medicaid Paid
Provider Details
| Authorized Official | BUFFALO, EARLENE (PROGRAM MANAGER) |
| NPI Enumeration Date | 01/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
18,981 |
$7.61M |
| 2019 |
13,530 |
$5.79M |
| 2020 |
5,414 |
$2.46M |
| 2021 |
4,843 |
$2.23M |
| 2022 |
5,933 |
$3.31M |
| 2023 |
6,020 |
$3.61M |
| 2024 |
5,140 |
$3.25M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
59,059 |
3,339 |
$27.91M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
802 |
624 |
$352K |