Medicaid Provider Spending

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

SOUTH METRO HUMAN SERVICES- TCM

NPI: 1346314465 · SAINT PAUL, MN 55101 · Case Management Agency · NPI assigned 11/20/2006

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

100% of spending on code T2023 with only 1 total codes billed. Highly concentrated billing profile.

$21.26M
Total Medicaid Paid
56,516
Total Claims
55,320
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPAUL, TOM (PRESIDENT)
NPI Enumeration Date11/20/2006

Related Entities

Other providers sharing the same authorized official: PAUL, TOM

ProviderCityStateTotal Paid
SOUTH METRO HUMAN SERVICES ANOKA MN $11.82M
SOUTH METRO HUMAN SERVICES-ACT PURPLE SAINT PAUL MN $10.93M
SOUTH METRO HUMAN SERVICES-ACT BLUE SAINT PAUL MN $9.87M
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH MINNEAPOLIS MN $9.73M
SOUTH METRO HUMAN SERVICES- FACT MINNEAPOLIS MN $8.75M
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH OAKDALE MN $6.62M
SOUTH METRO HUMAN SERVICES MAPLEWOOD MN $3.86M
SOUTH METRO HUMAN SERVICES SAINT PAUL MN $49K
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH ST PAUL MN $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,094 $1.32M
2019 7,772 $2.98M
2020 8,336 $3.47M
2021 8,444 $3.68M
2022 9,247 $3.48M
2023 8,966 $3.56M
2024 6,657 $2.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2023 Targeted case management; per month 56,516 55,320 $21.26M