Medicaid Provider Spending

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

COUNTRY MANOR CAMPUS LLC

NPI: 1154595858 · SARTELL, MN 56377 · Assisted Living Facility · NPI assigned 04/15/2008

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

99% of spending on code T2031 with only 3 total codes billed. Highly concentrated billing profile.

$1.55M
Total Medicaid Paid
16,018
Total Claims
616
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARGUTH, KEVIN (C.F.O.)
Parent OrganizationTHE FOUNDATION FOR HEALTH CARE CONTINUUMS
NPI Enumeration Date04/15/2008

Related Entities

Other providers sharing the same authorized official: HARGUTH, KEVIN

ProviderCityStateTotal Paid
COUNTRY MANOR CAMPUS LLC SARTELL MN $9K
COUNTRY MANOR CAMPUS LLC SARTELL MN $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 419 $11K
2022 2,529 $211K
2023 5,609 $524K
2024 7,461 $809K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 15,599 518 $1.54M
S5130 Homemaker service, nos; per 15 minutes 391 85 $10K
T1030 Nursing care, in the home, by registered nurse, per diem 28 13 $75.02