KINGMAN SENIOR LIVING, LLC
NPI: 1730653361
· KINGMAN, AZ 86409
· Assisted Living Facility
· NPI assigned 01/16/2019
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.
$2.77M
Total Medicaid Paid
Provider Details
| Authorized Official | FRESHWATER, DAVID (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 01/16/2019 |
Related Entities
Other providers sharing the same authorized official: FRESHWATER, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
37 |
$86K |
| 2020 |
130 |
$374K |
| 2021 |
146 |
$427K |
| 2022 |
165 |
$511K |
| 2023 |
207 |
$670K |
| 2024 |
184 |
$699K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
869 |
833 |
$2.77M |