Neighborhood Healthsource

Neighborhood Healthsource was paid $10K by Medicaid between Apr 2018 and Oct 2019, across 12 billing codes. Its largest line is S0302, Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) — 70% of everything it billed.

33Billing provider infoNEIGHBORHOOD HEALTHSOURCE
COON RAPIDS, MN 55448

33aNPI1659323459assigned 05/17/2006

33bProvider typeGeneral Practice Physician

28Total paid$10K

24GClaims865

24DCodes billed12

24AFirst – last monthApr 2018 – Oct 2019

Compared with peers

Next to other General Practice Physician providers in Minnesota

Rank by total paid#19 of 23

Median peer was paid$636K

This provider vs. median0.0×

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.

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	428	$2K
2019	437	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	70%	163	155	$7K
90460	Immunization administration through 18 years of age via any route, first or only component	15%	121	118	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.0%	29	26	$776.55
96127		2.5%	86	75	$242.49
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	2.4%	38	38	$236.10
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.4%	81	75	$137.60
92551		1.0%	41	40	$97.59
99188		<1%	27	27	$22.63
99173		<1%	41	40	$21.80
X5622		0%	160	153	$0.00
90686		0%	65	64	$0.00
S0280	Medical home program, comprehensive care coordination and planning, initial plan	0%	13	13	$0.00

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 officialKNUTSON, STEVEN (EXECUTIVE DIRECTOR)

Parent organizationNEIGHBORHOOD HEALTHSOURCE