KMJC, LLC
NPI: 1619399136
· SAINT PAUL, MN 55106
· Assisted Living Facility
· NPI assigned 01/17/2014
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.
$17.06M
Total Medicaid Paid
Provider Details
| Authorized Official | LO, SIA (ADMINISTRATOR) |
| NPI Enumeration Date | 01/17/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,131 |
$1.27M |
| 2019 |
12,823 |
$1.63M |
| 2020 |
13,241 |
$1.98M |
| 2021 |
12,317 |
$2.38M |
| 2022 |
13,319 |
$2.77M |
| 2023 |
20,028 |
$3.29M |
| 2024 |
22,953 |
$3.74M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
105,812 |
5,718 |
$17.06M |