Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Nu-way House INC

Substance Abuse Rehabilitation Facility·Minneapolis, MN·NPI: 1265515639SharePrint Report

Red Flags Explained

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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

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Billing Swing

Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

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Bills $1,730.00 per claim for H2036 (Alcohol/drug treatment, per hour) — 6.8× the national median of $253.79.

This is a statistical summary, not an accusation. See our methodology.

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $200.3M is at the 99th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Above 99th percentile for this specialty — higher spending than 19 of 20 peers

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$200.3M

$200,303,783

Total Claims

1.4M

Beneficiaries

150K

9.3 claims/patient

Avg Cost/Claim

$144

#454 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Nu-way House INC is a Substance Abuse Rehabilitation Facility provider based in Minneapolis, MN. From the 2018–2024 period, this provider received $200.3M in Medicaid payments across 1.4M claims.

Why This Matters

This provider received $200.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 25,037 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 376% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$7.0M
+278%
2019
$26.5M
+22%
2020
$32.3M
+4%
2021
$33.7M
-3%
2022
$32.7M
+7%
2023
$34.8M
-4%
2024
$33.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (H2035 (Alcohol and/or drug treatment, per hour)) accounts for 87% of total spending.

H2035Normal range

Alcohol and/or drug treatment, per hour

$173.8M

1.3M claims · 86.8%

Your Cost: $133.65/claim|Median: $94.63
1.4× median
H2036Top 10%

Alcohol/drug treatment, per hour

$23.7M

14K claims · 11.8%

Your Cost: $1,730.00/claim|Median: $253.79
6.8× median
H0001Normal range

Alcohol and/or drug assessment

$1.9M

15K claims · 0.9%

Your Cost: $129.00/claim|Median: $94.22
1.4× median
T1016Normal range

Case management, each 15 min

$474K

39K claims · 0.2%

Your Cost: $12.17/claim|Median: $49.62
0.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$382K

18K claims · 0.2%

Your Cost: $20.84/claim|Median: $55.04
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$23K

402 claims · 0.0%

Your Cost: $57.28/claim|Median: $99.21
0.6× median