Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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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
2,686
Total Claims
1,766
Beneficiaries
2
Codes Billed
2019-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHEINEMAN, AVI (OWNER)
NPI Enumeration Date12/14/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 147 $44K
2020 792 $267K
2021 401 $385K
2022 507 $433K
2023 431 $454K
2024 408 $467K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 2,671 1,754 $2.05M
T2031 Assisted living; waiver, per diem 15 12 $46.91