BOULDER GARDENS ASSISTANT LIVING, LLC
NPI: 1114262292
· PRESCOTT, AZ 86305
· Assisted Living Facility
· NPI assigned 11/30/2012
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.
$2.41M
Total Medicaid Paid
Provider Details
| Authorized Official | ZIMMERMAN, CARL (SENIOR VICE PRESIDENT) |
| NPI Enumeration Date | 11/30/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
482 |
$411K |
| 2019 |
439 |
$424K |
| 2020 |
394 |
$487K |
| 2021 |
473 |
$709K |
| 2022 |
230 |
$380K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
2,018 |
1,756 |
$2.41M |