ST. ANTHONY'S ADHC, INC.
NPI: 1013571710
· PACOIMA, CA 91331
· Adult Day Care Clinic/Center
· NPI assigned 04/28/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5102 with only 3 total codes billed. Highly concentrated billing profile.
$8.03M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
9,817 |
$658K |
| 2022 |
31,577 |
$2.22M |
| 2023 |
35,534 |
$2.61M |
| 2024 |
33,632 |
$2.54M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
110,080 |
6,031 |
$7.99M |
| H2000 |
Comprehensive multidisciplinary evaluation |
467 |
163 |
$35K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
13 |
13 |
$739.08 |