Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HORIZON HOMES, INC

NPI: 1093895997 · MANKATO, MN 56001 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 10/16/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.

$3.88M
Total Medicaid Paid
11,731
Total Claims
570
Beneficiaries
1
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIBYL, MICHAEL (EXECUTIVE DIRECTOR)
NPI Enumeration Date10/16/2006

Related Entities

Other providers sharing the same authorized official: PRIBYL, MICHAEL

ProviderCityStateTotal Paid
HORIZON HOMES, INC. MANKATO MN $8.82M
HORIZON HOMES, INC. MANKATO MN $6.19M

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 11,731 570 $3.88M