Providers

KATHLEEN RUBESH, LICSW

NPI 1679747034, individual, Grand Rapids, MN, Social Worker, Clinical

5
Evidence tier
informational
  • 74% of Medicaid dollars are on codes with a history of abuse.
score 33 of 100, rank 10606, $541K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameKATHLEEN RUBESH, LICSW
TypeIndividual, sole proprietor
StatusActive
NPI issuedApril 16, 2008, last updated August 27, 2026
Practice location413 SE 13TH ST STE A, Grand Rapids, MN 55744-0016, 218-999-9908
Mailing address303 SE 1ST ST, Grand Rapids, MN 55744-3681
Specialties
Social Worker, Clinical (1041C0700X, primary, license 11328 MN)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
H2014Skills training and development per 15 minhistory of abuse$3.5M67%$476$298 (top 5% from $3K)67th percentile
H2012Behavioral health day treatment per hour$435K8%$2K$677 (top 5% from $3K)78th percentile
90832Psychotherapy, 30 minutes$335K7%$218$59 (top 5% from $239)94th percentile
90837Psychotherapy, 1 hourhistory of abuse$322K6%$246$191 (top 5% from $442)71st percentile
90834Psychotherapy, 45 minutes$212K4%$167$101 (top 5% from $318)77th percentile
H0032Medicaid service code$154K3%$99$98 (top 5% from $675)50th percentile
90791Psychiatric diagnostic evaluation$111K2%$165$105 (top 5% from $228)87th percentile
H0031Medicaid service code$68K1%$101$100 (top 5% from $540)50th percentile

In this area

4 providers in Itasca County, MN carry an indicator in the public record, with $791K at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 1.

tierproviderat stakewhy
3NORTHERN ITASCA HOSPITAL DISTRICT
Bigfork, MN, ranked 3279
$0
  • Part of provider network D1-00040, ranked 40 nationally.
3ITASCA NURSING HOME
Grand Rapids, MN, ranked 6148
$0
  • Part of provider network D1-00125, ranked 125 nationally.
3GRAND ITASCA CLINIC AND HOSPITAL
Grand Rapids, MN, ranked 6893
$0
  • Part of provider network D1-00125, ranked 125 nationally.
5THOMAS JOHNSON
Grand Rapids, MN, ranked 10153
$791K
  • Medicaid dollars per patient on code 99214 ($182 per patient-month) sit in the top 5% of every provider billing that code.

Recent enforcement in MN

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJOtherMay 22, 2026
This Week in Fraud: The Fraud Division Announced Expansion of Midwest Task Force and Authorization to Hire 15 New Medicaid Prosecutors, an Unprecedented Minnesota Health Care Fraud Takedown, and a $2 Billion Telemedicine Health Care Fraud Scheme
The Justice Department announced charges against 15 defendants for Medicaid fraud schemes totaling over $90 million in intended loss, a 10-year sentence in a $2 billion international health care fraud conspiracy in Brooklyn, and a Michigan jury conviction of a nurse who bribed a Detroit hospital nurse for confidential records used to bill Medicare in a $1.6 million scheme, along with expansion of the Health Care Fraud Midwest Strike Force and hiring of 15 additional Medicaid fraud prosecutors.
DOJChargedMay 21, 2026
Minnesota Health Care Fraud Takedown Results in Charges Against 15 Defendants for Over $90M in Fraud
Fifteen defendants were charged in connection with schemes involving over $90 million in intended loss against Minnesota Medicaid programs, including paying kickbacks to parents and billing for autism, Integrated Community Supports, Individualized Home Supports, Housing Stabilization Services and child care services that were not provided as represented.
DOJPleaded guiltyFeb 10, 2026
Fraud Tourists Plead Guilty to Minneapolis Medicaid Fraud
Two men set up businesses in Minneapolis, enrolled as Housing Stabilization Services providers, recruited Medicaid beneficiaries at homeless shelters and Section 8 housing, billed for services not provided, and used ChatGPT and fabricated e-mails to create fake client records when asked for documentation.
DOJChargedSep 24, 2025
First Defendant Charged in Autism Fraud Scheme
Hassan and others enrolled Smart Therapy LLC as an EIDBI autism services provider, recruited children with cash kickbacks to parents, employed unqualified behavioral technicians, and submitted inflated and fabricated Medicaid claims for services not provided, obtaining more than $14 million, while also submitting approximately $465,000 in fraudulent Federal Child Nutrition Program claims through Feeding Our Future.
DOJCivil settlementJun 26, 2025
NUWAY Alliance Agrees to Pay $18,500,000 Settlement in Medicaid Kickbacks Scheme, False Claims Act Violations
NUWAY compensated Medicaid patients for seeking intensive outpatient treatment in violation of the federal anti-kickback statute and submitted false claims for IOP services not provided by double-billing the same period of time as distinct billable units.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

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