Medicaid Provider Spending

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

ST. CLOUD HOSPITAL

NPI: 1427218957 · SAUK RAPIDS, MN 56379 · Substance Abuse Rehabilitation Facility · NPI assigned 06/09/2008

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.

Entity Proliferation

Authorized official BLAIR, MICHAEL controls 20+ related entities in our dataset. Read more

$2.53M
Total Medicaid Paid
2,705
Total Claims
923
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-04
Last Month

Provider Details

Authorized OfficialBLAIR, MICHAEL (SR. VICE PRESIDENT & CFO)
NPI Enumeration Date06/09/2008

Related Entities

Other providers sharing the same authorized official: BLAIR, MICHAEL

ProviderCityStateTotal Paid
ST. CLOUD HOSPITAL SAINT CLOUD MN $53.43M
CENTRACARE CLINIC ST CLOUD MN $20.93M
CENTRACARE CLINIC ST CLOUD MN $19.28M
CENTRACARE HEALTH SYSTEM BIG LAKE MN $12.82M
CARRIS HEALTH LLC WILLMAR MN $12.39M
CENTRACARE HEALTH SYSTEMS SAINT CLOUD MN $9.41M
CENTRACARE HEALTH SYSTEM SAINT CLOUD MN $9.06M
CARRIS HEALTH LLC WILLMAR MN $8.27M
CENTRACARE CLINIC SAINT CLOUD MN $6.96M
CENTRACARE HEALTH SYSTEM - LONG PRAIRIE LONG PRAIRIE MN $6.86M
CENTRACARE HEALTH SYSTEM-NR LLC MONTICELLO MN $6.73M
CENTRACARE CLINIC SARTELL MN $6.11M
ST. CLOUD HOSPITAL SAINT CLOUD MN $5.16M
CARRIS HEALTH - REDWOOD LLC REDWOOD FALLS MN $4.74M
ST. CLOUD HOSPITAL ST CLOUD MN $4.44M
CENTRACARE HEALTH SYSTEM - SAUK CENTRE SAUK CENTRE MN $4.19M
CENTRACARE HEALTH SYSTEM - MELROSE MELROSE MN $4.05M
CENTRACARE CLINIC SAINT CLOUD MN $3.58M
CENTRACARE CLINIC SAINT CLOUD MN $2.83M
CARRIS HEALTH, LLC WILLMAR MN $2.82M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 879 $348K
2019 1,401 $1.71M
2020 425 $471K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2036 Alcohol and/or other drug treatment program, per diem 2,705 923 $2.53M