NPI: 1629545017 · MAPLEWOOD, MN 55119 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 10/24/2018
100% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | PETERSON, CYNTHIA (DIRECTOR) |
| Parent Organization | RHSC INC. |
| NPI Enumeration Date | 10/24/2018 |
Other providers sharing the same authorized official: PETERSON, CYNTHIA
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,153 | $505K |
| 2023 | 5,563 | $2.42M |
| 2024 | 3,806 | $1.58M |
| Code | Description | Claims | Beneficiaries | Total 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 | 10,498 | 440 | $4.51M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 24 | 12 | $490.96 |