Extended Care Portfolio Multistate Pool Tenant, LLC

Extended Care Portfolio Multistate Pool Tenant, LLC was paid $7.65M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is T2033, Residential care, not otherwise specified (nos), waiver; per diem — 100% of everything it billed.

33Billing provider infoEXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
PHOENIX, AZ 85032

33aNPI1730314626assigned 05/20/2009

33bProvider typeAssisted Living Facility

28Total paid$7.65M

24GClaims2,954

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Assisted Living Facility providers in Arizona

Rank by total paid#24 of 131

Median peer was paid$2.34M

This provider vs. median3.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2033 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	480	$858K
2019	382	$908K
2020	337	$877K
2021	367	$950K
2022	399	$1.09M
2023	498	$1.50M
2024incomplete	491	$1.47M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2033	Residential care, not otherwise specified (nos), waiver; per diem	100%	2,954	2,707	$7.65M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialRICHARDSON, PETER (CONTROLLER)

Parent organizationEXTENDED CARE PORTFOLIO TENANT, LLC