SOUTH METRO HUMAN SERVICES-ACT BLUE
NPI: 1952843864
· 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.
$9.87M
Total Medicaid Paid
Provider Details
| Authorized Official | PAUL, TOM (PRESIDENT) |
| NPI Enumeration Date | 11/09/2016 |
Related Entities
Other providers sharing the same authorized official: PAUL, TOM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,847 |
$919K |
| 2019 |
7,312 |
$1.44M |
| 2020 |
6,212 |
$1.37M |
| 2021 |
5,561 |
$1.28M |
| 2022 |
8,566 |
$1.88M |
| 2023 |
7,400 |
$1.69M |
| 2024 |
5,080 |
$1.29M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assertive community treatment program, per diem |
47,978 |
5,611 |
$9.87M |