Spring Hills at Somerset

Spring Hills at Somerset was paid $1.78M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.

33Billing provider infoSPRING HILLS AT SOMERSET
SOMERSET, NJ 08873

33aNPI1215072616assigned 02/21/2007

33bProvider typeAssisted Living Facility

28Total paid$1.78M

24GClaims1,536

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Assisted Living Facility providers in New Jersey

Rank by total paid#56 of 167

Median peer was paid$954K

This provider vs. median1.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	537	$353K
2019	216	$364K
2020	156	$238K
2021	163	$243K
2022	221	$264K
2023	132	$167K
2024incomplete	111	$153K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2031	Assisted living; waiver, per diem	100%	1,536	1,138	$1.78M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialROSARIO, ERIO (EXECUTIVE DIRECTOR)