Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTHPOINTE RETIREMENT COMMUNITY

NPI: 1619271525 · PENSACOLA, FL 32514 · Assisted Living Facility · NPI assigned 01/06/2011

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.

$3.73M
Total Medicaid Paid
3,400
Total Claims
3,113
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHINES, SARAH (ASSISTANT ADMINISTRATOR)
NPI Enumeration Date01/06/2011

Related Entities

Other providers sharing the same authorized official: HINES, SARAH

ProviderCityStateTotal Paid
WESTPOINTE RETIREMENT COMMUNITY PENSACOLA FL $2.30M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 344 $392K
2019 430 $455K
2020 603 $601K
2021 657 $655K
2022 621 $650K
2023 435 $568K
2024 310 $406K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 3,357 3,070 $3.72M
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) 43 43 $9K