AUTUMN VILLA INC.
NPI: 1326267063
· CUMBERLAND, RI 02864
· Assisted Living Facility
· NPI assigned 04/24/2007
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.
$5.55M
Total Medicaid Paid
Provider Details
| Authorized Official | DUROCHER, MARCIA (ADMINISTRATOR) |
| NPI Enumeration Date | 04/24/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
57 |
$51K |
| 2019 |
140 |
$227K |
| 2020 |
162 |
$304K |
| 2021 |
462 |
$525K |
| 2022 |
660 |
$1.61M |
| 2023 |
644 |
$1.56M |
| 2024 |
416 |
$1.27M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
2,541 |
1,966 |
$5.55M |