SUPRA SENIORS LLC
NPI: 1326241803
· WEBSTER GROVES, MO 63119
· Adult Day Care Clinic/Center
· NPI assigned 06/11/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5100 with only 1 total codes billed. Highly concentrated billing profile.
$4.21M
Total Medicaid Paid
Provider Details
| Authorized Official | ALLEN, DAVIS (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/11/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,559 |
$575K |
| 2019 |
11,444 |
$594K |
| 2020 |
8,122 |
$446K |
| 2021 |
11,194 |
$619K |
| 2022 |
10,201 |
$686K |
| 2023 |
8,789 |
$664K |
| 2024 |
8,013 |
$629K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5100 |
Day care services, adult; per 15 minutes |
69,322 |
3,079 |
$4.21M |