GRACIOUS AGE LLC
NPI: 1669673521
· SANFORD, FL 32771
· Assisted Living Facility
· NPI assigned 05/29/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2030 with only 1 total codes billed. Highly concentrated billing profile.
$2.90M
Total Medicaid Paid
Provider Details
| Authorized Official | CARLOS, JOCELYN (ADMINISTRATOR) |
| NPI Enumeration Date | 05/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
396 |
$429K |
| 2020 |
402 |
$438K |
| 2021 |
511 |
$619K |
| 2022 |
578 |
$802K |
| 2023 |
347 |
$490K |
| 2024 |
83 |
$125K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
2,317 |
2,268 |
$2.90M |