COUNTRYSIDE ASSISTED LIVING, LLC
NPI: 1295028389
· HUNTSVILLE, AR 72740
· Assisted Living Facility
· NPI assigned 05/23/2011
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.
$6.77M
Total Medicaid Paid
Provider Details
| Authorized Official | BOX, TARA (ADMINISTRATOR) |
| NPI Enumeration Date | 05/23/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
727 |
$1.23M |
| 2019 |
585 |
$961K |
| 2020 |
571 |
$778K |
| 2021 |
555 |
$664K |
| 2022 |
730 |
$950K |
| 2023 |
743 |
$1.13M |
| 2024 |
649 |
$1.06M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
4,560 |
4,022 |
$6.77M |