GRANDTAG MADISONREALTY LLC
NPI: 1730678756
· CLAREMONT, CA 91711
· Contractor
· NPI assigned 05/04/2018
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.
$2.91M
Total Medicaid Paid
Provider Details
| Authorized Official | BURDETTE, FORBES (MANAGING DIRECTOR) |
| NPI Enumeration Date | 05/04/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
114 |
$280K |
| 2019 |
274 |
$729K |
| 2020 |
258 |
$689K |
| 2021 |
277 |
$777K |
| 2022 |
264 |
$432K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
1,187 |
1,012 |
$2.91M |