SOUTH AVENUE ASSISTED LIVING, LLC
NPI: 1710477567
· BOARDMAN, OH 44512
· Assisted Living Facility
· NPI assigned 05/17/2018
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.
$1.41M
Total Medicaid Paid
Provider Details
| Authorized Official | REESE, EDWARD (DIRECTOR OF BUSINESS DEVELOPMENT) |
| NPI Enumeration Date | 05/17/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
39 |
$66K |
| 2021 |
166 |
$266K |
| 2022 |
236 |
$261K |
| 2023 |
220 |
$35K |
| 2024 |
590 |
$787K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
1,251 |
776 |
$1.41M |