Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Red River Behavioral Health System

Red River Behavioral Health System was paid $220K by Medicaid between Jan 2018 and Jun 2020, across 6 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 50% of everything it billed.

33Billing provider infoRED RIVER BEHAVIORAL HEALTH SYSTEM
GRAND FORKS, ND 58201
33aNPI1174974877assigned 06/24/2016
28Total paid$220K
24GClaims8,141
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in North Dakota

Rank by total paid#3 of 9
Median peer was paid$23K
This provider vs. median9.6×

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.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20183,498$73K
20192,939$98K
20201,704$49K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99231 Subsequent hospital care, per day, straightforward or low complexity 50% 5,616 1,050 $109K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 31% 1,684 564 $69K
99238 Hospital discharge day management, 30 minutes or less 12% 540 460 $26K
99222 Initial hospital care, per day, moderate complexity 4.7% 167 126 $10K
99223 Prolong inpt eval add15 m 1.6% 106 83 $3K
99221 <1% 28 28 $2K

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 officialSMITH, JAMES (CHIEF ADMINISTRATIVE OFFICER)
Same official

Other billing entities under SMITH, JAMES

Full network →
ProviderLocationPaid
Tri Star Scientific INC.Dayton, OH$17.55M
Cypress Grove Behavioral Health LLCMonroe, LA$706K
Veterans Memorial Ambulance ServiceNorthern Cambria, PA$114K
Jeffersonville Family Dental, PCJeffersonville, IN$69K
Litton & Giddings Radiological Associates PCSpringfield, MO$45K
James Randall Smith MD PCChristiansburg, VA$8K
High Desert Therapy Associates INCLapine, OR$4K
Metro Imaging, LLCCreve Coeur, MO$3K
Quakertown Foot Care Center INC.Quakertown, PA$1K

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