PACIFICA ROYALE ASSISTED LIVING COMMUNITY, INC.
NPI: 1558779694
· MIDWAY CITY, CA 92655
· Assisted Living Facility
· NPI assigned 07/31/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.
$11.05M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,177 |
$931K |
| 2019 |
2,530 |
$1.20M |
| 2020 |
2,646 |
$1.45M |
| 2021 |
2,657 |
$1.70M |
| 2022 |
1,822 |
$1.31M |
| 2023 |
3,213 |
$2.45M |
| 2024 |
2,548 |
$2.02M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
17,593 |
4,387 |
$11.05M |