Nursing facility
Portola Gardens LLC
Portola Gardens LLC was paid $564K by Medicaid between Dec 2023 and Dec 2024, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.
33Billing provider infoPORTOLA GARDENS LLC
SAN FRANCISCO, CA 94134
SAN FRANCISCO, CA 94134
33aNPI1215561444assigned 02/26/2020
33bProvider typeAssisted Living Facility
28Total paid$564K
24GClaims246
24DCodes billed1
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Assisted Living Facility providers in California
Rank by total paid#210 of 252
Median peer was paid$2.95M
This provider vs. median0.2×
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.
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 | |
|---|---|---|---|
| 2023 | 20 | $44K | |
| 2024incomplete | 226 | $519K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 100% | 246 | 145 | $564K |
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 officialCIMINO, MARK (LICENSEE)
| Provider | Location | Paid |
|---|---|---|
| River Fountains of Lodi | Lodi, CA | $5.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.