Medicaid Provider Spending

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

SOUTH METRO HUMAN SERVICES- FACT

NPI: 1568904654 · MINNEAPOLIS, MN 55413 · Case Management Agency · NPI assigned 11/07/2016

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.

$8.75M
Total Medicaid Paid
39,182
Total Claims
3,718
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPAUL, TOM (PRESIDENT)
NPI Enumeration Date11/07/2016

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 ANOKA MN $11.82M
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 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 6,330 $690K
2019 6,424 $1.32M
2020 4,695 $1.07M
2021 5,120 $1.55M
2022 5,017 $1.22M
2023 6,246 $1.45M
2024 5,350 $1.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 39,182 3,718 $8.75M