COMMONWEALTH RESIDENTIAL LIVING LLC
NPI: 1356825301
· SANDSTON, VA 23150
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 09/16/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H2022 with only 1 total codes billed. Highly concentrated billing profile.
$1.26M
Total Medicaid Paid
Provider Details
| Authorized Official | WHITE, CRYSTAL (CEO) |
| NPI Enumeration Date | 09/16/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
53 |
$143K |
| 2024 |
428 |
$1.12M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Community-based wrap-around services, per diem |
481 |
96 |
$1.26M |