RED LAKE HOMELESS SHELTER INC.
NPI: 1063030419
· RED LAKE, MN 56671
· Case Management Agency
· NPI assigned 07/13/2020
$1.05M
Total Medicaid Paid
Provider Details
| Authorized Official | MAY, JORDAN (EXECUTIVE DIRECTOR) |
| Parent Organization | RED LAKE BAND OF CHIPPEWA INDIANS |
| NPI Enumeration Date | 07/13/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$6K |
| 2021 |
579 |
$47K |
| 2022 |
547 |
$69K |
| 2023 |
4,246 |
$450K |
| 2024 |
856 |
$475K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
647 |
198 |
$399K |
| 98960 |
|
793 |
402 |
$357K |
| 98962 |
|
373 |
173 |
$191K |
| 98961 |
|
174 |
86 |
$86K |
| H2015 |
Comprehensive community support services, per 15 minutes |
954 |
483 |
$15K |
| H0043 |
Supported housing, per diem |
3,313 |
139 |
$0.00 |