PRIOR LAKE OPS LLC
NPI: 1003292962
· PRIOR LAKE, MN 55372
· Assisted Living Facility
· NPI assigned 08/03/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.
$3.64M
Total Medicaid Paid
Provider Details
| Authorized Official | NOVACZYK, RYAN (PRESIDENT) |
| NPI Enumeration Date | 08/03/2015 |
Related Entities
Other providers sharing the same authorized official: NOVACZYK, RYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
684 |
$68K |
| 2021 |
126 |
$349K |
| 2022 |
2,117 |
$588K |
| 2023 |
3,285 |
$1.18M |
| 2024 |
3,811 |
$1.46M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
10,023 |
1,304 |
$3.64M |