MAXICARE SENIOR HOME, LLC
NPI: 1124667738
· LANCASTER, CA 93534
· Assisted Living Facility
· NPI assigned 12/30/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.
$4.78M
Total Medicaid Paid
Provider Details
| Authorized Official | BONZON, TEODULO (MANAGER) |
| NPI Enumeration Date | 12/30/2019 |
Related Entities
Other providers sharing the same authorized official: BONZON, TEODULO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
132 |
$332K |
| 2023 |
607 |
$1.86M |
| 2024 |
774 |
$2.58M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
1,513 |
1,357 |
$4.78M |