Medicaid Provider Spending

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

SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH

NPI: 1871664722 · MINNEAPOLIS, MN 55413 · Case Management Agency · NPI assigned 11/13/2006

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.

$9.73M
Total Medicaid Paid
44,468
Total Claims
5,269
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPAUL, TOM (PRESIDENT)
NPI Enumeration Date11/13/2006

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 PURPLE SAINT PAUL MN $10.93M
SOUTH METRO HUMAN SERVICES-ACT BLUE SAINT PAUL MN $9.87M
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 6,511 $707K
2019 6,446 $1.45M
2020 5,363 $1.21M
2021 4,755 $1.22M
2022 7,512 $1.84M
2023 7,755 $1.83M
2024 6,126 $1.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 44,468 5,269 $9.73M