Medicaid Provider Spending

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

HORIZON HOMES, INC.

NPI: 1124333810 · MANKATO, MN 56001 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 08/18/2010

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

100% of spending on code H0018 with only 1 total codes billed. Highly concentrated billing profile.

$8.82M
Total Medicaid Paid
17,840
Total Claims
3,490
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIBYL, MICHAEL (EXECUTIVE DIRECTOR)
Parent OrganizationHORIZON HOMES, INC.
NPI Enumeration Date08/18/2010

Related Entities

Other providers sharing the same authorized official: PRIBYL, MICHAEL

ProviderCityStateTotal Paid
HORIZON HOMES, INC. MANKATO MN $6.19M
HORIZON HOMES, INC MANKATO MN $3.88M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 711 $394K
2019 1,995 $1.13M
2020 1,924 $1.10M
2021 2,521 $1.43M
2022 3,231 $1.54M
2023 3,911 $1.70M
2024 3,547 $1.53M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 17,840 3,490 $8.82M