NPI: 1104412402 · PONEMAH, MN 56666 · Substance Abuse Rehabilitation Facility · NPI assigned 12/21/2020
99% of spending on code H2036 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | ANDERSEN, CHARLENE (REVENUE GENERATION DIRECTOR) |
| NPI Enumeration Date | 12/21/2020 |
Other providers sharing the same authorized official: ANDERSEN, CHARLENE
| Provider | City | State | Total Paid |
|---|---|---|---|
| MINO BIMAADIZIWIN HEALTH CLINIC | MINNEAPOLIS | MN | $5.66M |
| OBAASHING WOMEN'S TREATMENT CENTER | PONEMAH | MN | $1.36M |
| RED LAKE HELIX SUD SERVICES | MINNEAPOLIS | MN | $340K |
| RED LAKE NATION YOUTH SAFE HARBOR INC | RED LAKE | MN | $97K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 42 | $389K |
| 2023 | 144 | $1.03M |