8025 SEPULVEDA LLC
NPI: 1619137460
· VAN NUYS, CA 91402
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 06/16/2008
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.
$2.72M
Total Medicaid Paid
Provider Details
| Authorized Official | SAMUELS, MARK (ADMINISTRATOR) |
| NPI Enumeration Date | 06/16/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
286 |
$713K |
| 2024 |
1,142 |
$2.01M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
1,428 |
808 |
$2.72M |