PENNINGTON GARDENS SL, LLC
NPI: 1073262333
· CHANDLER, AZ 85224
· Assisted Living Facility
· NPI assigned 03/22/2022
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2033 with only 1 total codes billed. Highly concentrated billing profile.
$4.91M
Total Medicaid Paid
Provider Details
| Authorized Official | BAE, STEVEN (VP OF ORG DEVELOPMENT) |
| NPI Enumeration Date | 03/22/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
323 |
$1.04M |
| 2023 |
550 |
$1.89M |
| 2024 |
578 |
$1.99M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
1,451 |
1,392 |
$4.91M |