COUNTRYSIDE HAVEN ASSISTED LIVING
NPI: 1396281887
· PALM HARBOR, FL 34684
· Assisted Living Facility
· NPI assigned 01/09/2017
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.
$1.11M
Total Medicaid Paid
Provider Details
| Authorized Official | COOGAN, KATHY (OWNER) |
| Parent Organization | COUNTRYSIDE HAVEN ASSISTED LIVING LLC |
| NPI Enumeration Date | 01/09/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
26 |
$29K |
| 2020 |
42 |
$45K |
| 2021 |
169 |
$202K |
| 2022 |
244 |
$291K |
| 2023 |
200 |
$272K |
| 2024 |
187 |
$267K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
868 |
841 |
$1.11M |