Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › DULUTH › MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.

MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.

NPI: 1588732762 · DULUTH, MN 55808 · Lodging Provider · NPI assigned 12/04/2006

Deactivated NPI · This NPI was deactivated on 06/25/2008. Reactivated 08/17/2009.
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.

$3.24M
Total Medicaid Paid
1,529
Total Claims
1,195
Beneficiaries
1
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMALLERY, JAMES (ADMINISTRATOR)
NPI Enumeration Date12/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81 $142K
2019 276 $579K
2020 424 $856K
2021 327 $802K
2022 334 $586K
2023 87 $271K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2036 Alcohol and/or other drug treatment program, per diem 1,529 1,195 $3.24M