VALLEY VISTA RESIDENTIAL MANOR LLC
NPI: 1275026957
· NORTH HOLLYWOOD, CA 91606
· Assisted Living Facility (Mental Illness)
· NPI assigned 06/07/2018
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.
$2.88M
Total Medicaid Paid
Provider Details
| Authorized Official | PO, GINGER (CEO) |
| NPI Enumeration Date | 06/07/2018 |
Related Entities
Other providers sharing the same authorized official: PO, GINGER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
129 |
$250K |
| 2023 |
717 |
$1.18M |
| 2024 |
1,034 |
$1.45M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
1,880 |
941 |
$2.88M |