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MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.
MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.
NPI: 1578621579
· SAWYER, MN 55780
· Substance Abuse Rehabilitation Facility
· NPI assigned 12/04/2006
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.
$11.18M
Total Medicaid Paid
Provider Details
| Authorized Official | MALLERY II, JAMES (BUSINESS MANAGER) |
| NPI Enumeration Date | 12/04/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
522 |
$806K |
| 2019 |
846 |
$2.29M |
| 2020 |
808 |
$2.04M |
| 2021 |
651 |
$1.85M |
| 2022 |
719 |
$1.95M |
| 2023 |
423 |
$1.35M |
| 2024 |
225 |
$893K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
4,194 |
3,581 |
$11.18M |