Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MN › Minneapolis › NPI 1568904654
Agency

South Metro Human Services- Fact

South Metro Human Services- Fact was paid $8.75M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is H0040, Assertive community treatment program, per diem — 100% of everything it billed.

33Billing provider infoSOUTH METRO HUMAN SERVICES- FACT
MINNEAPOLIS, MN 55413
33aNPI1568904654assigned 11/07/2016
33bProvider typeCase Management Agency
28Total paid$8.75M
24GClaims39,182
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Case Management Agency providers in Minnesota

Rank by total paid#39 of 134
Median peer was paid$1.47M
This provider vs. median5.9×

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 H0040 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
20186,330$690K
20196,424$1.32M
20204,695$1.07M
20215,120$1.55M
20225,017$1.22M
20236,246$1.45M
2024incomplete5,350$1.45M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0040 Assertive community treatment program, per diem 100% 39,182 3,718 $8.75M

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 officialPAUL, TOM (PRESIDENT)
Same official

Other billing entities under PAUL, TOM

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.