Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Medicaid spending in North Dakota

1,178 providers based in North Dakota were paid $2.16B in outpatient and professional Medicaid claims from 2018 through 2024. The largest single code is T2016, a day of residential support for a person with a developmental disability, at $407.99M. Fargo is the biggest billing hub.

28Total paid$2.16B
33Billing providers1,178
24GClaims18,457,986
On OIG exclusion list1
Box 33 · Billing provider

Who sent the bill in North Dakota

  1. Agencies — home care, case management, community support
    48¢
  2. Clinics and outpatient centers
    13¢
  3. Physicians
    8¢
  4. Residential treatment
    7¢
  5. Hospitals (outpatient claims only)
    7¢
  6. Counselors, therapists and social workers
    5¢
  7. Rides and ambulances
    4¢
  8. Dentists
    1¢

Cents of every dollar billed by North Dakota-based providers, grouped by each provider's primary NPPES type. Compare: nationally, agencies take 33¢ and physicians 11¢.

Box 24 · Service lines

The biggest codes

All North Dakota codes →
  1. T2016A day of residential support for a person with a developmental disability
    $408M
  2. W0725
    $248M
  3. T2021Day program for adults with developmental disabilities, per 15 minutes
    $173M
  4. 99213Doctor's office visit, returning patient (routine)
    $103M
  5. W0715
    $96M
  6. 99214Doctor's office visit, returning patient (more involved)
    $71M
  7. W0300
    $52M
  8. S5125Attendant care at home, billed per 15 minutes
    $48M
  9. 99284Emergency room visit (serious)
    $47M
  10. 99283Emergency room visit (moderate)
    $40M
Box 32 · Location

By city

Fargo$539MBismarck$448MMinot$239MGrand Forks$189MMandan$158MJamestown$100MWest Fargo$85MDickinson$72MWilliston$56MValley City$53MDevils Lake$47MWahpeton$37MBelcourt$24MFort Totten$20MHarvey$19MFort Yates$17MRolla$15MNew Town$11MCando$3.8MBowman$3.4MArnegard$2.5MGrafton$2.0MNew Rockford$1.7MWatford City$1.6MRugby$1.5MHazen$1.4MDunseith$1.3MPark River$1.3MSentinel Butte$1.1MBeulah$1.0MBottineau$929KCarrington$673KRolette$564KThompson$530KTurtle Lake$481KHorace$396KLarimore$331KBeach$286KHillsboro$270KMayville$251KHankinson$236KTrenton$236KWishek$221KCavalier$200KNorthwood$181KLangdon$177KGarrison$168KKilldeer$133KLisbon$126KCrosby$122K
Auditor's notes

Billing flags in North Dakota

Statistical outliers on claims per beneficiary, single-code billing, and OIG exclusion. Not evidence of fraud — how these work.

#ProviderFlagsPaid
1 Edgewood Sartell LLC single-code billing $7.08M
2 Sharehouse, INC. single-code billing $5.92M
3 Sharehouse Grand Forks single-code billing $4.07M
4 Goodsamaritan Home Care single-code billing $2.73M
5 Community Living Services, INC single-code billing $2.04M
6 Shangri-La Home Care single-code billing $2.00M
7 Prudent Homecare LLC single-code billing $1.84M
8 Northeast Human Service Center single-code billing $1.69M
9 Blessed Home Care single-code billing $1.42M
10 Easter Seals Goodwill ND, INC. single-code billing $1.03M
11 Bialik, David OIG excluded $0.00
Ranked

Top 100 providers in North Dakota

#ProviderTypeCityClaimsPaid
1 Community Living Services, INC Residential Fargo 419,874 $104.57M
2 Community Options for Residential and Employment Services, INC Behavioral Bismarck 262,360 $84.41M
3 Villa Nazareth Agency Fargo 201,279 $84.18M
4 Minot Vocational Adjustment Workshop Agency Minot 289,773 $83.57M
5 Sanford Medical Center Fargo Physician West Fargo 1,616,799 $75.64M
6 Rem North Dakota Agency Minot 183,335 $72.67M
7 Pride INC. Agency Bismarck 244,852 $71.11M
8 Easter Seals Goodwill ND, INC. Agency Mandan 194,949 $70.51M
9 Hit INC. Agency Mandan 234,103 $55.09M
10 Development Homes INC Agency Grand Forks 67,276 $53.86M
11 Open Door Center Agency Valley City 179,943 $51.05M
12 Sanford Medical Center Fargo Hospital Fargo 680,370 $50.18M
13 Sanford Bismarck Clinic Bismarck 737,459 $43.96M
14 Enable, INC. Residential Bismarck 88,888 $40.79M
15 Able INC Agency Dickinson 67,674 $39.78M
16 Support Systems, INC. Agency Bismarck 46,730 $37.67M
17 Red River Human Services Foundation Agency Wahpeton 93,514 $34.50M
18 PSJ Acquisition LLC Physician Fargo 153,132 $32.26M
19 Altru Health System Physician Grand Forks 568,080 $29.75M
20 Anne Carlsen Center Agency Jamestown 164,842 $28.61M
21 Vocational Training Center, INC. Agency Fargo 177,329 $28.54M
22 Hit INC. Agency Mandan 47,429 $27.67M
23 Opportunity Foundation INC Agency Williston 106,042 $26.30M
24 Innovis Health, LLC Hospital Fargo 381,966 $25.47M
25 Lake Region Corporation Agency Devils Lake 101,862 $24.33M
26 FM Ambulance Service, INC Transport Fargo 123,409 $23.80M
27 Quentin N Burdick Comprehensive Health Care Facility Hospital Belcourt 53,711 $22.23M
28 Alpha Opportunities INC. Agency Jamestown 77,202 $20.27M
29 Trinity Health Clinic Minot 352,155 $18.68M
30 Altru Health System Hospital Grand Forks 326,692 $18.68M
31 Hit INC. Agency Dickinson 86,558 $17.40M
32 Spirit Lake Tribe Clinic Fort Totten 44,380 $16.57M
33 Medscan Laboratory INC Lab Williston 694,853 $14.77M
34 Fraser, LTD. Agency Fargo 4,000 $13.89M
35 Heartview Foundation Clinic Bismarck 282,995 $13.62M
36 Anne Carlsen Center for Children Agency Jamestown 75,093 $13.14M
37 Family Health Care Center Clinic Fargo 149,002 $12.66M
38 Sanford Bismarck Transport Bismarck 222,297 $12.50M
39 Sanford Medical Center Fargo Transport Fargo 5,748 $12.02M
40 Bismarck Public Schools Early Intervention Agency Bismarck 51,863 $12.01M
41 Hav-It Services Agency Harvey 32,078 $11.91M
42 Metro Area Ambulance Service, INC Transport Bismarck 49,139 $11.70M
43 Mercy Hospital of Devils Lake Clinic Devils Lake 112,927 $11.14M
44 Triumph, INC. Agency Jamestown 34,598 $10.92M
45 Fort Yates Indian Health Service Hospital Hospital Fort Yates 25,437 $9.98M
46 L.I.S.T.E.N. INC Agency Grand Forks 38,058 $9.43M
47 Elbowoods Memorial Health Center Clinic New Town 19,637 $9.35M
48 Minot State University Minot 40,758 $9.07M
49 Community Medical Services Montana Private LLC Clinic Fargo 375,108 $8.90M
50 Southeast Human Service Center Clinic Fargo 66,892 $8.84M
51 Presentation Medical Center Hospital Rolla 67,187 $8.84M
52 Village Family Service Center Clinic Fargo 157,672 $8.83M
53 Peterson Medical Clinics, LLC Physician Grand Forks 160,181 $8.79M
54 Doyle's Yellow Checker Cab, INC Transport Fargo 237,067 $7.79M
55 Grand Forks Growth and Support Center Agency Grand Forks 26,589 $7.44M
56 Fraser, LTD Agency Fargo 1,350 $7.38M
57 Trinity Hospitals Hospital Minot 166,361 $7.37M
58 Edgewood Sartell LLC Nursing facility Grand Forks 48,201 $7.08M
59 Pediatric Therapy Partners, INC. Agency Fargo 39,165 $7.02M
60 Sanford Clinic North Lab Fargo 397,327 $7.02M
61 North Central Human Service Center Clinic Minot 65,169 $6.95M
62 Bridging the Dental Gap INC Clinic Bismarck 37,878 $6.82M
63 Minot Vocational Adjustment Workshop Agency Minot 21,446 $6.70M
64 Northeast Human Service Center Clinic Grand Forks 55,883 $6.68M
65 Pride INC Agency Bismarck 11,884 $6.60M
66 West Central Human Service Center Clinic Bismarck 37,875 $6.17M
67 Hav-It Services Agency Harvey 1,456 $6.01M
68 Sharehouse, INC. Residential Fargo 9,650 $5.92M
69 Anne Carlsen Center Clinic Jamestown 26,484 $5.89M
70 D. Michael Goebel D.D.S., PC Dental Bismarck 119,447 $5.83M
71 North Dakota Autism Center, INC Agency West Fargo 21,878 $5.70M
72 Pride INC. Agency Bismarck 18,911 $5.69M
73 Red Door Pediatric Therapy, INC Behavioral Bismarck 82,550 $5.65M
74 Poppy's Promise LLC Agency Bismarck 18,545 $5.61M
75 Spectra Health Clinic Grand Forks 64,174 $5.55M
76 Doughboy Pediatric Dental Group Dental Minot 126,360 $5.55M
77 Standing Rock Sioux Tribe Transport Fort Yates 20,401 $5.48M
78 Little Miracles, INC. Clinic Grand Forks 93,457 $5.48M
79 Innovis Health LLC Physician Fargo 158,303 $5.11M
80 Pride INC Agency Bismarck 8,281 $4.91M
81 Sanford Healthcare Accessories, LLC Supplier Fargo 89,300 $4.79M
82 Villa Nazareth Agency Fargo 23,651 $4.71M
83 North Dakota DHS Aging Services Agency Bismarck 26,997 $4.63M
84 New Freedom Center Residential Bismarck 10,335 $4.54M
85 Valley Oral & Facial Surgery PC Clinic Grand Forks 39,433 $4.45M
86 Innovis Health LLC Clinic Fargo 102,974 $4.44M
87 Sanford Bismarck Lab Bismarck 269,096 $4.25M
88 Community Medical Services Montana-Private, LLC Behavioral Minot 193,607 $4.16M
89 Encompass Family Support Services Agency Fargo 18,699 $4.16M
90 ST Josephs Hospital and Health Center Hospital Dickinson 44,883 $4.12M
91 Sharehouse Grand Forks Clinic Grand Forks 11,805 $4.07M
92 Fargo Maple View LLC Nursing facility Fargo 24,740 $4.02M
93 Nexus-Path Family Healing Behavioral Fargo 38,172 $3.98M
94 Mercy Medical Center Clinic Williston 56,926 $3.98M
95 Lutheran Charity Association Hospital Jamestown 40,220 $3.97M
96 Beyond Boundaries Occupational Therapy, INC. Clinic Fargo 55,298 $3.90M
97 ST. Alexius Medical Center Bismarck 71,494 $3.59M
98 Sanford Medical Center Fargo Clinic Fargo 110,821 $3.58M
99 Lasting Love Homecare Agency Bismarck 22,146 $3.57M
100 Rehabauthority, LLC Grand Forks 138,102 $3.53M