SOUTHERN AVE SP LLC
NPI: 1306433644
· WASHINGTON DC, DC 20032
· Assisted Living Facility
· NPI assigned 12/21/2020
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.
$20.17M
Total Medicaid Paid
Provider Details
| Authorized Official | PERSON, RYAN (DIRECTOR OF BUSINESS DEVELOPMENT) |
| NPI Enumeration Date | 12/21/2020 |
Related Entities
Other providers sharing the same authorized official: PERSON, RYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
5,163 |
$655K |
| 2022 |
30,309 |
$5.25M |
| 2023 |
38,178 |
$7.59M |
| 2024 |
33,304 |
$6.68M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
106,954 |
3,466 |
$20.17M |