Habilitative Services LLC
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $5.8M (2018) to $19.6M (2019) — a 238% swing with $13.8M absolute change.
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:
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.
Compared to Community/Behavioral Health Peers
Total spending distribution among 218 providers in this specialty
This provider's total spending of $134.1M is at the 50th percentile among 218 Community/Behavioral Health providers.
Total Paid
$134.1M
$134,118,491
Total Claims
601K
Beneficiaries
23K
25.6 claims/patient
Avg Cost/Claim
$223
#847 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Habilitative Services LLC is a Community/Behavioral Health provider based in Mankato, MN. From the 2018–2024 period, this provider received $134.1M in Medicaid payments across 601K claims.
Why This Matters
This provider received $134.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,764 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 9 distinct procedure codes. The top code (S5140 (Foster care, adult; per diem)) accounts for 70% of total spending.
Foster care, adult; per diem
$94.1M
374K claims · 70.2%
$33.5M
169K claims
$198.06
$331.94
Habilitation, residential, waiver; per diem
$33.5M
169K claims · 25.0%
Attendant care services, per 15 min
$2.3M
15K claims · 1.7%
$2.3M
18K claims
$127.91
$83.88
Skills training & development, per 15 min
$2.3M
18K claims · 1.7%
$1.0M
10K claims
$103.89
$108.23
Activity therapy, per 15 minutes
$1.0M
10K claims · 0.8%
$520K
9K claims
$59.84
$84.12
Therapeutic behavioral services, per 15 min
$520K
9K claims · 0.4%
$277K
3K claims
$106.27
$137.32
Habilitation, residential, waiver; 15 min
$277K
3K claims · 0.2%
Companion care, adult, per diem
$164K
3K claims · 0.1%
Unskilled respite care, per 15 min
$20K
119 claims · 0.0%
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