Medicaid Provider Spending

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

NPI: 1851905251 · ROCHESTER, MN 55904 · Multi-Specialty Clinic/Center · NPI assigned 09/02/2020

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

93% of spending on code H0018 with only 2 total codes billed. Highly concentrated billing profile.

$3.54M
Total Medicaid Paid
7,299
Total Claims
2,815
Beneficiaries
2
Codes Billed
2021-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialASPER, LISA (CONTRACT MANAGER)
Parent OrganizationFEIN
NPI Enumeration Date09/02/2020

Related Entities

Other providers sharing the same authorized official: ASPER, LISA

ProviderCityStateTotal Paid
AVALON PROGRAMS, LLC STILLWATER MN $402K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 451 $122K
2022 1,371 $510K
2023 3,042 $1.56M
2024 2,435 $1.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 3,779 643 $3.28M
H2011 Crisis intervention service, per 15 minutes 3,520 2,172 $261K