Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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NIC 15 PINE ROCK MANOR LEASING LLC

NPI: 1518383710 · WARNER, NH 03278 · Assisted Living Facility · NPI assigned 03/12/2014

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T2033 with only 1 total codes billed. Highly concentrated billing profile.

$1.44M
Total Medicaid Paid
710
Total Claims
598
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialBOETHEL, PAUL (CEO)
NPI Enumeration Date03/12/2014

Related Entities

Other providers sharing the same authorized official: BOETHEL, PAUL

ProviderCityStateTotal Paid
NIC 14 DAYTON LEASING LLC DAYTON OH $2.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 331 $681K
2019 329 $686K
2020 50 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2033 Residential care, not otherwise specified (nos), waiver; per diem 710 598 $1.44M