Autumn Villa INC.

Autumn Villa INC. was paid $5.55M by Medicaid between Mar 2018 and Nov 2024, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.

33Billing provider infoAUTUMN VILLA INC.
CUMBERLAND, RI 02864

33aNPI1326267063assigned 04/24/2007

33bProvider typeAssisted Living Facility

28Total paid$5.55M

24GClaims2,541

24DCodes billed1

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Assisted Living Facility providers in Rhode Island

Rank by total paid#3 of 25

Median peer was paid$3.27M

This provider vs. median1.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	57	$51K
2019	140	$227K
2020	162	$304K
2021	462	$525K
2022	660	$1.61M
2023	644	$1.56M
2024incomplete	416	$1.27M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2031	Assisted living; waiver, per diem	100%	2,541	1,966	$5.55M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDUROCHER, MARCIA (ADMINISTRATOR)