Medicaid Provider Spending

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

LSREF GOLDEN OPS UE (AZ), LLC

NPI: 1184947418 · PEORIA, AZ 85382 · Assisted Living Facility · NPI assigned 03/01/2010

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.

$2.61M
Total Medicaid Paid
1,412
Total Claims
1,285
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-04
Last Month

Provider Details

Authorized OfficialPETERSON, WICK (VP)
NPI Enumeration Date03/01/2010

Related Entities

Other providers sharing the same authorized official: PETERSON, WICK

ProviderCityStateTotal Paid
LSREF GOLDEN OPS UE (AZ), LLC PEORIA AZ $1.69M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 595 $985K
2019 640 $1.26M
2020 177 $362K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2033 Residential care, not otherwise specified (nos), waiver; per diem 1,412 1,285 $2.61M