COUNTRY VILLA EAST, LP
NPI: 1801126305
· LOS ANGELES, CA 90035
· Skilled Nursing Facility
· NPI assigned 01/05/2010
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.
$5.62M
Total Medicaid Paid
Provider Details
| Authorized Official | PETTERSON, CHERYL (VICE PRESIDENT - CAMS) |
| NPI Enumeration Date | 01/05/2010 |
Related Entities
Other providers sharing the same authorized official: PETTERSON, CHERYL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
397 |
$742K |
| 2019 |
424 |
$915K |
| 2020 |
404 |
$898K |
| 2021 |
290 |
$759K |
| 2022 |
224 |
$614K |
| 2023 |
577 |
$1.59M |
| 2024 |
42 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
2,358 |
2,104 |
$5.62M |