NPI deactivated
Minnesota Indian Primary Residential Treatment Center, INC.
Minnesota Indian Primary Residential Treatment Center, INC. was paid $3.24M by Medicaid between Jan 2018 and Oct 2023, across 1 billing code. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 100% of everything it billed.
33Billing provider infoMINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.
DULUTH, MN 55808
DULUTH, MN 55808
33aNPI1588732762assigned 12/04/2006
33bProvider typeLodging Provider
28Total paid$3.24M
24GClaims1,529
24DCodes billed1
24AFirst – last monthJan 2018 – Oct 2023
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code H2036 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 81 | $142K | |
| 2019 | 276 | $579K | |
| 2020 | 424 | $856K | |
| 2021 | 327 | $802K | |
| 2022 | 334 | $586K | |
| 2023 | 87 | $271K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 100% | 1,529 | 1,195 | $3.24M |
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 officialMALLERY, JAMES (ADMINISTRATOR)