VAN DYK'S SENIOR RESIDENCE OF HAWTHORNE, LLC
NPI: 1730212689
· HAWTHORNE, NJ 07506
· Assisted Living Facility
· NPI assigned 03/13/2007
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.
$1.14M
Total Medicaid Paid
Provider Details
| Authorized Official | SHOTMEYER, CHARLES (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 03/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
57 |
$84K |
| 2020 |
79 |
$114K |
| 2021 |
68 |
$118K |
| 2022 |
159 |
$259K |
| 2023 |
203 |
$315K |
| 2024 |
163 |
$246K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
729 |
659 |
$1.14M |