Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Carroll Institute

Carroll Institute was paid $1.52M by Medicaid between Jan 2021 and Nov 2024, across 6 billing codes. Its largest line is H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education — 41% of everything it billed.

33Billing provider infoCARROLL INSTITUTE
SIOUX FALLS, SD 57104
33aNPI1952446411assigned 02/21/2007
28Total paid$1.52M
24GClaims5,535
24DCodes billed6
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in South Dakota

Rank by total paid#4 of 7
Median peer was paid$1.52M
This provider vs. median1.0×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2021351$61K
2022995$188K
20231,182$276K
2024incomplete3,007$993K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 41% 1,246 778 $624K
H0005 Alcohol and/or drug services; group counseling by a clinician 29% 1,713 1,621 $435K
T1012 Alcohol and/or substance abuse services, skills development 18% 1,182 814 $272K
H0004 Behavioral health counseling and therapy, per 15 minutes 6.6% 709 672 $100K
H0001 Alcohol and/or drug assessment 5.3% 563 535 $80K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification <1% 122 115 $8K

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 officialTUSCHEN, GARY (EXECUTIVE DIRECTOR)