NYSTROM RESIDENTIAL TREATMENT, LLC
NPI: 1386229748
· BIG LAKE, MN 55309
· Substance Abuse Rehabilitation Facility
· NPI assigned 03/16/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H2036 with only 1 total codes billed. Highly concentrated billing profile.
$3.35M
Total Medicaid Paid
Provider Details
| Authorized Official | EIDEN, ANN (VP OF CORPORATE SERVICES) |
| NPI Enumeration Date | 03/16/2021 |
Related Entities
Other providers sharing the same authorized official: EIDEN, ANN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
57 |
$96K |
| 2022 |
1,350 |
$1.24M |
| 2023 |
1,142 |
$1.04M |
| 2024 |
609 |
$969K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
3,158 |
1,292 |
$3.35M |