Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Refractions LLC

Refractions LLC was paid $3.85M by Medicaid between Jan 2023 and Dec 2024, across 1 billing code. Its largest line is 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 — 100% of everything it billed.

33Billing provider infoREFRACTIONS LLC
SAINT AUGUSTA, MN 56301
33aNPI1407356710assigned 02/14/2018
28Total paid$3.85M
24GClaims7,707
24DCodes billed1
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers

Next to other Mental Illness Community Based Residential Treatment Facility providers in Minnesota

Rank by total paid#21 of 43
Median peer was paid$3.56M
This provider vs. median1.1×

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 H0019 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20233,190$1.70M
2024incomplete4,517$2.15M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 100% 7,707 309 $3.85M

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 officialPENA, MOLLY (OWNER)