Medicaid Provider Spending

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

REFRACTIONS LLC

NPI: 1407356710 · SAINT AUGUSTA, MN 56301 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 02/14/2018

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

100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.

$3.85M
Total Medicaid Paid
7,707
Total Claims
309
Beneficiaries
1
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPENA, MOLLY (OWNER)
NPI Enumeration Date02/14/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 3,190 $1.70M
2024 4,517 $2.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 7,707 309 $3.85M