Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DAKOTA BOYS & GIRLS RANCH ASSOCIATION

NPI: 1750467999 · MINOT, ND 58703 · Emotionally Disturbed Childrens' Residential Treatment Facility · NPI assigned 10/31/2006

$30K
Total Medicaid Paid
733
Total Claims
298
Beneficiaries
7
Codes Billed
2018-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialGANTZER, SHONDELL (BOOKKEEPER)
NPI Enumeration Date10/31/2006

Related Entities

Other providers sharing the same authorized official: GANTZER, SHONDELL

ProviderCityStateTotal Paid
DAKOTA FAMILY SERVICES FARGO ND $248K
FAA ADDICTION SERVICES, LLC MINOT ND $80K
FAA ADDICTION SERVICES MINOT ND $72K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $7K
2019 231 $13K
2021 407 $9K
2024 26 $772.98

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 167 61 $16K
H0004 Behavioral health counseling and therapy, per 15 minutes 54 13 $4K
90853 Group psychotherapy (other than of a multiple-family group) 200 72 $4K
T1017 Targeted case management, each 15 minutes 159 88 $4K
90785 67 27 $727.32
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 46 22 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 40 15 $0.00