WINDSOR HALL CARE HOME
NPI: 1346416112
· LOS ANGELES, CA 90015
· Assisted Living Facility
· NPI assigned 05/01/2008
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.
$5.92M
Total Medicaid Paid
Provider Details
| Authorized Official | BOLONG, MICHAEL (ADMINISTRATOR) |
| NPI Enumeration Date | 05/01/2008 |
Related Entities
Other providers sharing the same authorized official: BOLONG, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
392 |
$993K |
| 2022 |
495 |
$1.29M |
| 2023 |
806 |
$1.90M |
| 2024 |
630 |
$1.74M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
2,323 |
2,017 |
$5.92M |