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

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.

Risk Assessment

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:2018-012024-12(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
0.3× 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