SISTINE MANOR INC
NPI: 1588206700
· BALDWIN PARK, CA 91706
· Assisted Living Facility
· NPI assigned 10/09/2019
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.
$1.34M
Total Medicaid Paid
Provider Details
| Authorized Official | FAN, LINDA (PRESENT) |
| NPI Enumeration Date | 10/09/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$39K |
| 2023 |
143 |
$534K |
| 2024 |
215 |
$769K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
370 |
349 |
$1.34M |