Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Residential Plaza at Blue Lagoon

Residential Plaza at Blue Lagoon was paid $9.81M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is T2030, Assisted living, waiver; per month — 91% of everything it billed.

33Billing provider infoRESIDENTIAL PLAZA AT BLUE LAGOON
MIAMI, FL 33126
33aNPI1548546559assigned 10/24/2011
33bProvider typeAssisted Living Facility
28Total paid$9.81M
24GClaims8,979
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Assisted Living Facility providers in Florida

Rank by total paid#2 of 674
Median peer was paid$673K
This provider vs. median15×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration91% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018537$216K
20191,103$646K
20201,766$1.37M
20211,586$1.63M
20221,359$1.80M
20231,400$2.08M
2024incomplete1,228$2.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2030 Assisted living, waiver; per month 91% 6,714 6,010 $8.97M
T1020 Help at home with daily living, billed per dayPersonal 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) 8.6% 2,265 2,002 $844K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGALINDO, BARBARA (ADMINISTRATOR)