Tbi Residential and Community Services, Inc.
Instant Volume
New provider billing over $1M in their first year of Medicaid participation.
Billed $14.9M in first year (2021).
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
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:
Instant Volume
Instant Volume means this provider billed over $1 million in their very first year of Medicaid participation. New providers typically ramp up gradually, so immediate high-volume billing can be a red flag.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers
Total spending distribution among 50 providers in this specialty
This provider's total spending of $51.6M is at the 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.
Total Paid
$51.6M
$51,562,310
Total Claims
216K
Beneficiaries
8,596
25.1 claims/patient
Avg Cost/Claim
$239
🔍 Analysis
Provider Overview
Tbi Residential and Community Services, Inc. is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider based in Duluth, MN. From the 2018–2024 period, this provider received $51.6M in Medicaid payments across 216K claims.
Why This Matters
At $51.6M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
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