Horizon Homes, INC

Horizon Homes, INC was paid $3.88M by Medicaid between Feb 2019 and Dec 2024, across 1 billing code. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 100% of everything it billed.

33Billing provider infoHORIZON HOMES, INC
MANKATO, MN 56001

33aNPI1093895997assigned 10/16/2006

33bProvider typeMental Illness Community Based Residential Treatment Facility

28Total paid$3.88M

24GClaims11,731

24DCodes billed1

24AFirst – last monthFeb 2019 – Dec 2024

Compared with peers

Next to other Mental Illness Community Based Residential Treatment Facility providers in Minnesota

Rank by total paid#19 of 43

Median peer was paid$3.56M

This provider vs. median1.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	179	$46K
2020	254	$91K
2022	1,733	$585K
2023	5,011	$1.60M
2024incomplete	4,554	$1.56M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0019	Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	100%	11,731	570	$3.88M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPRIBYL, MICHAEL (EXECUTIVE DIRECTOR)

Same official

Other billing entities under PRIBYL, MICHAEL

Full network →

Provider	Location	Paid
Horizon Homes, INC.	Mankato, MN	$8.82M
Horizon Homes, INC.	Mankato, MN	$6.19M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.