TANGERINE COVE PLC LLC
NPI: 1437663952
· BROOKSVILLE, FL 34601
· Assisted Living Facility
· NPI assigned 11/20/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.
$1.40M
Total Medicaid Paid
Provider Details
| Authorized Official | PETRAS, ROBERT (CO-OWNER/COO) |
| NPI Enumeration Date | 11/20/2017 |
Related Entities
Other providers sharing the same authorized official: PETRAS, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
156 |
$162K |
| 2019 |
845 |
$794K |
| 2020 |
435 |
$441K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
1,398 |
1,318 |
$1.36M |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
38 |
38 |
$42K |