WILDWOOD GROVE
NPI: 1184833394
· LE ROY, MN 55951
· Assisted Living Facility
· NPI assigned 05/22/2007
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.
$2.18M
Total Medicaid Paid
Provider Details
| Authorized Official | PAYNE, GERALD (PRESIDENT OF BOARD) |
| NPI Enumeration Date | 05/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
1,417 |
$323K |
| 2023 |
4,078 |
$975K |
| 2024 |
3,566 |
$885K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
9,061 |
415 |
$2.18M |