RESIDENTIAL PLAZA AT BLUE LAGOON
NPI: 1548546559
· MIAMI, FL 33126
· Assisted Living Facility
· NPI assigned 10/24/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.
$9.81M
Total Medicaid Paid
Provider Details
| Authorized Official | GALINDO, BARBARA (ADMINISTRATOR) |
| NPI Enumeration Date | 10/24/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
537 |
$216K |
| 2019 |
1,103 |
$646K |
| 2020 |
1,766 |
$1.37M |
| 2021 |
1,586 |
$1.63M |
| 2022 |
1,359 |
$1.80M |
| 2023 |
1,400 |
$2.08M |
| 2024 |
1,228 |
$2.07M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
6,714 |
6,010 |
$8.97M |
| 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) |
2,265 |
2,002 |
$844K |