Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH METRO HUMAN SERVICES

NPI: 1598853533 · MAPLEWOOD, MN 55109 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 10/11/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.

$3.86M
Total Medicaid Paid
10,611
Total Claims
487
Beneficiaries
1
Codes Billed
2022-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPAUL, TOM (PRESIDENT)
NPI Enumeration Date10/11/2006

Related Entities

Other providers sharing the same authorized official: PAUL, TOM

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 2,388 $848K
2023 4,125 $1.48M
2024 4,098 $1.53M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 10,611 487 $3.86M