Clinic
Breakthrough
Breakthrough was paid $1.05M by Medicaid between May 2022 and Dec 2024, across 2 billing codes. Its largest line is H2035, Alcohol and/or other drug treatment program, per hour — 100% of everything it billed.
33Billing provider infoBREAKTHROUGH
SAINT PAUL, MN 55114
SAINT PAUL, MN 55114
33aNPI1205446044assigned 08/06/2020
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$1.05M
24GClaims7,935
24DCodes billed2
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Minnesota
Rank by total paid#27 of 54
Median peer was paid$804K
This provider vs. median1.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code H2035 with only 2 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2022 | 1,555 | $255K | |
| 2023 | 2,017 | $288K | |
| 2024incomplete | 4,363 | $507K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2035 | Alcohol and/or other drug treatment program, per hour | 100% | 7,922 | 448 | $1.05M |
| H0001 | Alcohol and/or drug assessment | <1% | 13 | 12 | $825.80 |
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 officialKNIGHT, SUKIMO (EXECUTIVE DIRECTOR)