PEARL CARE LLC
NPI: 1386282978
· NASHVILLE, TN 37214
· Assisted Living Facility
· NPI assigned 12/14/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.
$2.05M
Total Medicaid Paid
1,766
Beneficiary Records
Provider Details
| Authorized Official | HEINEMAN, AVI (OWNER) |
| NPI Enumeration Date | 12/14/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
147 |
$44K |
| 2020 |
792 |
$267K |
| 2021 |
401 |
$385K |
| 2022 |
507 |
$433K |
| 2023 |
431 |
$454K |
| 2024 |
408 |
$467K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
2,671 |
1,754 |
$2.05M |
| T2031 |
Assisted living; waiver, per diem |
15 |
12 |
$46.91 |