Medicaid Provider Spending

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

SOUTH METRO HUMAN SERVICES

NPI: 1528147857 · ANOKA, MN 55303 · Case Management Agency · NPI assigned 11/06/2006

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

100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.

$11.82M
Total Medicaid Paid
58,455
Total Claims
5,804
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPAUL, TOM (PRESIDENT)
NPI Enumeration Date11/06/2006

Related Entities

Other providers sharing the same authorized official: PAUL, TOM

ProviderCityStateTotal Paid
SOUTH METRO HUMAN SERVICES- TCM SAINT PAUL MN $21.26M
SOUTH METRO HUMAN SERVICES-ACT PURPLE SAINT PAUL MN $10.93M
SOUTH METRO HUMAN SERVICES-ACT BLUE SAINT PAUL MN $9.87M
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH MINNEAPOLIS MN $9.73M
SOUTH METRO HUMAN SERVICES- FACT MINNEAPOLIS MN $8.75M
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH OAKDALE MN $6.62M
SOUTH METRO HUMAN SERVICES MAPLEWOOD MN $3.86M
SOUTH METRO HUMAN SERVICES SAINT PAUL MN $49K
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH ST PAUL MN $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,602 $756K
2019 8,192 $1.63M
2020 8,852 $1.91M
2021 8,195 $1.89M
2022 8,169 $1.54M
2023 8,784 $2.11M
2024 7,661 $1.97M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 58,455 5,804 $11.82M