ETS WILLOWBROOK AT MARION
NPI: 1114420502
· LAKE CITY, FL 32025
· Assisted Living Facility
· NPI assigned 03/13/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2030 with only 1 total codes billed. Highly concentrated billing profile.
$1.34M
Total Medicaid Paid
Provider Details
| Authorized Official | BURGESS, JON (SECRETARY/TREASURER) |
| NPI Enumeration Date | 03/13/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
210 |
$266K |
| 2023 |
395 |
$579K |
| 2024 |
327 |
$498K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2030 |
Assisted living, waiver; per month |
932 |
907 |
$1.34M |