Medicaid Provider Spending

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

SEASHORE OAKS ASSISTED LIVING

NPI: 1235473588 · BILOXI, MS 39530 · Assisted Living Facility · NPI assigned 11/26/2012

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1020 with only 1 total codes billed. Highly concentrated billing profile.

$3.64M
Total Medicaid Paid
2,470
Total Claims
2,270
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSPOONER, SHANNON (COO CO-OWNER)
NPI Enumeration Date11/26/2012

Related Entities

Other providers sharing the same authorized official: SPOONER, SHANNON

ProviderCityStateTotal Paid
GULF SHORES ADULT DAY CARE BILOXI MS $3.65M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 316 $440K
2019 303 $403K
2020 306 $400K
2021 393 $570K
2022 423 $592K
2023 362 $590K
2024 367 $647K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1020 Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 2,470 2,270 $3.64M