Residential
Fourth Avenue Homes INC.
Fourth Avenue Homes INC. was paid $63.54M by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is S5140, Foster care, adult; per diem — 77% of everything it billed.
33Billing provider infoFOURTH AVENUE HOMES INC.
SPICER, MN 56288
SPICER, MN 56288
33aNPI1205012507assigned 01/16/2008
33bProvider typeMental Illness Community Based Residential Treatment Facility
28Total paid$63.54M
24GClaims143,805
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Illness Community Based Residential Treatment Facility providers in Minnesota
Rank by total paid#1 of 43
Median peer was paid$3.56M
This provider vs. median18×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,663 | $5.20M | |
| 2019 | 17,475 | $6.26M | |
| 2020 | 19,753 | $8.11M | |
| 2021 | 20,544 | $8.87M | |
| 2022 | 22,828 | $10.91M | |
| 2023 | 27,085 | $12.51M | |
| 2024incomplete | 21,457 | $11.68M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5140 | Foster care, adult; per diem | 77% | 112,062 | 3,740 | $48.93M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 22% | 29,626 | 1,010 | $14.17M |
| H0045 | Respite care services, not in the home, per diem | <1% | 1,617 | 425 | $398K |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | <1% | 500 | 116 | $41K |
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 officialSHRIVER, DEBRA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Divine House, INC. | Willmar, MN | $230.93M |
| Central Minnesota Senior Care, INC. | Willmar, MN | $18.96M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.