South Metro Human Services

South Metro Human Services was paid $3.86M by Medicaid between Jan 2022 and Nov 2024, across 1 billing code. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 100% of everything it billed.

33Billing provider infoSOUTH METRO HUMAN SERVICES
MAPLEWOOD, MN 55109

33aNPI1598853533assigned 10/11/2006

33bProvider typeMental Illness Community Based Residential Treatment Facility

28Total paid$3.86M

24GClaims10,611

24DCodes billed1

24AFirst – last monthJan 2022 – Nov 2024

Compared with peers

Next to other Mental Illness Community Based Residential Treatment Facility providers in Minnesota

Rank by total paid#20 of 43

Median peer was paid$3.56M

This provider vs. median1.1×

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 H0019 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
2022	2,388	$848K
2023	4,125	$1.48M
2024incomplete	4,098	$1.53M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0019	Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	100%	10,611	487	$3.86M

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 →

Provider	Location	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- Fact	Minneapolis, MN	$8.75M
South Metro Human Services Dba Radias Health	Oakdale, MN	$6.62M
South Metro Human Services	Saint Paul, MN	$49K
South Metro Human Services Dba Radias Health	St Paul, MN	$4K

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