EDGEWOOD PRAIRIE CROSSINGS SIOUX FALLS
NPI: 1245666353
· SIOUX FALLS, SD 57106
· Assisted Living Facility
· NPI assigned 09/20/2013
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.
$1.83M
Total Medicaid Paid
Provider Details
| Authorized Official | KRAMER, BARBARA (DIRECTOR OF UTILIZATION REVIEW) |
| NPI Enumeration Date | 09/20/2013 |
Related Entities
Other providers sharing the same authorized official: KRAMER, BARBARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
184 |
$146K |
| 2019 |
188 |
$192K |
| 2020 |
157 |
$160K |
| 2021 |
237 |
$279K |
| 2022 |
287 |
$295K |
| 2023 |
324 |
$366K |
| 2024 |
223 |
$390K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
1,600 |
1,424 |
$1.83M |