Medicaid Provider Spending

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

THE EMILY PROGRAM

NPI: 1649309246 · SAINT PAUL, MN 55108 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 03/02/2007

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

95% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.

$2.32M
Total Medicaid Paid
2,165
Total Claims
125
Beneficiaries
2
Codes Billed
2019-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialNORRIS, KATHERINE (GENERAL COUNSEL)
Parent OrganizationTHE EMILY PROGRAM
NPI Enumeration Date03/02/2007

Related Entities

Other providers sharing the same authorized official: NORRIS, KATHERINE

ProviderCityStateTotal Paid
EMILY PROGRAM PC ST PAUL MN $5.65M
EMILY PROGRAM PC SEATTLE WA $5.41M
EMILY PROGRAM PC COLUMBUS OH $1.19M
THE EMILY PROGRAM, PC SEATTLE WA $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 271 $125K
2022 241 $211K
2023 438 $500K
2024 1,215 $1.48M

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 1,894 112 $2.19M
T2048 Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem 271 13 $125K