Medicaid Provider Spending

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

GERARD TREATMENT PROGRAMS

NPI: 1972650893 · AUSTIN, MN 55912 · Emotionally Disturbed Childrens' Residential Treatment Facility · NPI assigned 01/04/2007

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

100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.

$1.48M
Total Medicaid Paid
1,371
Total Claims
363
Beneficiaries
1
Codes Billed
2018-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNERISON, LOREN (ADMISSIONS COORDINATOR)
NPI Enumeration Date01/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 72 $113K
2019 217 $345K
2020 247 $427K
2023 162 $59K
2024 673 $535K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 1,371 363 $1.48M