COUNTRY LIVING MANAGEMENT COMPANY
NPI: 1386984565
· MONTEVIDEO, MN 56265
· Assisted Living Facility
· NPI assigned 02/25/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.
$1.45M
Total Medicaid Paid
Provider Details
| Authorized Official | GIBSON, LUANNE (CEO) |
| NPI Enumeration Date | 02/25/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
1,356 |
$414K |
| 2023 |
2,166 |
$624K |
| 2024 |
1,296 |
$410K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
4,818 |
220 |
$1.45M |