Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SH HERON EAST, LLC

NPI: 1184288912 · SARASOTA, FL 34232 · Assisted Living Facility · NPI assigned 04/26/2019

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.

$3.88M
Total Medicaid Paid
3,351
Total Claims
2,911
Beneficiaries
1
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALKER, SETH (CFO, SRI MANAGEMENT)
NPI Enumeration Date04/26/2019

Related Entities

Other providers sharing the same authorized official: WALKER, SETH

ProviderCityStateTotal Paid
H-BAY MINISTRIES, INC. BRANDON FL $612K
H-BAY MINISTRIES, INC. CLERMONT FL $583K
VILLAGE VERANDA AT LADY LAKE, LLC LADY LAKE FL $510K
H-BAY MINISTRIES, INC. LECANTO FL $426K
SH NORTHDALE, LLC TAMPA FL $296K
H-BAY MINISTRIES, INC. OCALA FL $90K
SH HERON HOUSE, LLC SARASOTA FL $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 371 $336K
2020 516 $541K
2021 462 $527K
2022 705 $836K
2023 711 $908K
2024 586 $736K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 3,351 2,911 $3.88M