LSREF GOLDEN OPS UE (AZ), LLC
NPI: 1295057339
· PEORIA, AZ 85382
· Assisted Living Facility
· NPI assigned 02/16/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2033 with only 1 total codes billed. Highly concentrated billing profile.
$1.69M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PETERSON, WICK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
468 |
$570K |
| 2019 |
659 |
$827K |
| 2020 |
197 |
$296K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
1,324 |
1,213 |
$1.69M |