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EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
NPI: 1730314626
· PHOENIX, AZ 85032
· Assisted Living Facility
· NPI assigned 05/20/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2033 with only 1 total codes billed. Highly concentrated billing profile.
$7.65M
Total Medicaid Paid
Provider Details
| Authorized Official | RICHARDSON, PETER (CONTROLLER) |
| Parent Organization | EXTENDED CARE PORTFOLIO TENANT, LLC |
| NPI Enumeration Date | 05/20/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
480 |
$858K |
| 2019 |
382 |
$908K |
| 2020 |
337 |
$877K |
| 2021 |
367 |
$950K |
| 2022 |
399 |
$1.09M |
| 2023 |
498 |
$1.50M |
| 2024 |
491 |
$1.47M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
2,954 |
2,707 |
$7.65M |