THE LODGE AT 14TH ST.
NPI: 1083698328
· PHOENIX, AZ 85014
· Clinic/Center
· NPI assigned 11/30/2005
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.
$10.18M
Total Medicaid Paid
Provider Details
| Authorized Official | GARVEY, JOHN (GENERAL PARTNER) |
| NPI Enumeration Date | 11/30/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
438 |
$1.16M |
| 2019 |
386 |
$1.20M |
| 2020 |
418 |
$1.43M |
| 2021 |
409 |
$1.51M |
| 2022 |
416 |
$1.62M |
| 2023 |
373 |
$1.65M |
| 2024 |
353 |
$1.62M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
2,793 |
2,699 |
$10.18M |