Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › SAINT PAUL › SOUTH METRO HUMAN SERVICES-ACT PURPLE

SOUTH METRO HUMAN SERVICES-ACT PURPLE

NPI: 1861934788 · SAINT PAUL, MN 55101 · Case Management Agency · NPI assigned 11/09/2016

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

100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.

$10.93M
Total Medicaid Paid
47,805
Total Claims
5,602
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPAUL, TOM (PRESIDENT)
NPI Enumeration Date11/09/2016

Related Entities

Other providers sharing the same authorized official: PAUL, TOM

ProviderCityStateTotal Paid
SOUTH METRO HUMAN SERVICES- TCM SAINT PAUL MN $21.26M
SOUTH METRO HUMAN SERVICES ANOKA MN $11.82M
SOUTH METRO HUMAN SERVICES-ACT BLUE SAINT PAUL MN $9.87M
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH MINNEAPOLIS MN $9.73M
SOUTH METRO HUMAN SERVICES- FACT MINNEAPOLIS MN $8.75M
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH OAKDALE MN $6.62M
SOUTH METRO HUMAN SERVICES MAPLEWOOD MN $3.86M
SOUTH METRO HUMAN SERVICES SAINT PAUL MN $49K
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH ST PAUL MN $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,871 $583K
2019 6,798 $1.66M
2020 7,082 $1.72M
2021 5,605 $1.40M
2022 7,804 $1.95M
2023 7,232 $1.85M
2024 6,413 $1.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 47,805 5,602 $10.93M