Clinic
111 Fashion Lane LLC
111 Fashion Lane LLC was paid $1.49M by Medicaid between Nov 2022 and Jul 2024, across 1 billing code. Its largest line is S5102, adult day care, billed per day — 100% of everything it billed.
33Billing provider info111 FASHION LANE LLC
TUSTIN, CA 92780
TUSTIN, CA 92780
33aNPI1265006258assigned 05/14/2021
33bProvider typeAdult Day Care Clinic/Center
28Total paid$1.49M
24GClaims21,051
24DCodes billed1
24AFirst – last monthNov 2022 – Jul 2024
Compared with peers
Next to other Adult Day Care Clinic/Center providers in California
Rank by total paid#241 of 276
Median peer was paid$8.94M
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code S5102 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 | |
|---|---|---|---|
| 2022 | 456 | $35K | |
| 2023 | 10,209 | $787K | |
| 2024incomplete | 10,386 | $670K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 100% | 21,051 | 1,289 | $1.49M |
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 officialSINCLAIR, AGNES (MANAGER)