Pearl Care LLC

Pearl Care LLC was paid $2.05M by Medicaid between Nov 2019 and Nov 2024, across 2 billing codes. Its largest line is T2030, Assisted living, waiver; per month — 100% of everything it billed.

33Billing provider infoPEARL CARE LLC
NASHVILLE, TN 37214

33aNPI1386282978assigned 12/14/2019

33bProvider typeAssisted Living Facility

28Total paid$2.05M

24GClaims2,686

24DCodes billed2

24AFirst – last monthNov 2019 – Nov 2024

Compared with peers

Next to other Assisted Living Facility providers in Tennessee

Rank by total paid#3 of 31

Median peer was paid$325K

This provider vs. median6.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2030	Assisted living, waiver; per month	100%	2,671	1,754	$2.05M
T2031	Assisted living; waiver, per diem	<1%	15	12	$46.91

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHEINEMAN, AVI (OWNER)