111 FASHION LANE LLC
NPI: 1265006258
· TUSTIN, CA 92780
· Adult Day Care Clinic/Center
· NPI assigned 05/14/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5102 with only 1 total codes billed. Highly concentrated billing profile.
$1.49M
Total Medicaid Paid
Provider Details
| Authorized Official | SINCLAIR, AGNES (MANAGER) |
| NPI Enumeration Date | 05/14/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
456 |
$35K |
| 2023 |
10,209 |
$787K |
| 2024 |
10,386 |
$670K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
21,051 |
1,289 |
$1.49M |