BRISTOL PLC LLC
NPI: 1386158806
· ST PETERSBURG, FL 33714
· Assisted Living Facility
· NPI assigned 11/20/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2030 with only 1 total codes billed. Highly concentrated billing profile.
$1.43M
Total Medicaid Paid
Provider Details
| Authorized Official | PETRAS, ROBERT (CO-OWNER/COO) |
| NPI Enumeration Date | 11/20/2017 |
Related Entities
Other providers sharing the same authorized official: PETRAS, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
833 |
$870K |
| 2020 |
470 |
$557K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2030 |
Assisted living, waiver; per month |
1,303 |
1,154 |
$1.43M |