Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAJESTIC CARE MIDDLETOWN ASSISTED LIVING LLC

NPI: 1336753276 · MIDDLETOWN, OH 45044 · Assisted Living Facility · NPI assigned 09/08/2020

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.

$5.07M
Total Medicaid Paid
3,158
Total Claims
2,750
Beneficiaries
1
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCGUINNESS, BERNARD (OFFICER)
NPI Enumeration Date09/08/2020

Related Entities

Other providers sharing the same authorized official: MCGUINNESS, BERNARD

ProviderCityStateTotal Paid
MAJESTIC CARE FAIRFIELD ASSISTED LIVING LLC FAIRFIELD OH $2.44M
MAJESTIC CARE OF TOLEDO AL OPERATIONS LLC TOLEDO OH $1.68M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 539 $800K
2022 824 $1.32M
2023 860 $265K
2024 935 $2.69M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 3,158 2,750 $5.07M