Refocus Recovery
Refocus Recovery was paid $27.88M by Medicaid between Nov 2021 and Sep 2024, across 1 billing code. Its largest line is H0038, Self-help/peer services, per 15 minutes — 100% of everything it billed.
33Billing provider infoREFOCUS RECOVERY
MINNEAPOLIS, MN 55401
MINNEAPOLIS, MN 55401
33aNPI1356919286assigned 06/16/2021
33bProvider typePeer Specialist
28Total paid$27.88M
24GClaims304,706
24DCodes billed1
24AFirst – last monthNov 2021 – Sep 2024
Compared with peers
Next to other Peer Specialist providers in Minnesota
Rank by total paid#1 of 12
Median peer was paid$228K
This provider vs. median123×
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 H0038 with only 1 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 | |
|---|---|---|---|
| 2021 | 254 | $15K | |
| 2022 | 48,911 | $4.36M | |
| 2023 | 167,578 | $15.07M | |
| 2024incomplete | 87,963 | $8.45M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 100% | 304,706 | 40,040 | $27.88M |
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 officialSANDERS, TIM (EXECUTIVE DIRECTOR)