SEMMA ENTERPRISES, INC
NPI: 1801387568
· MIDDLETOWN, OH 45044
· Assisted Living Facility
· NPI assigned 05/29/2018
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.
$2.24M
Total Medicaid Paid
Provider Details
| Authorized Official | GUMBERT, DIANE (CFO) |
| Parent Organization | SEMMA ENTERPRISES, INC. DBA HAWTHORN |
| NPI Enumeration Date | 05/29/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
221 |
$340K |
| 2020 |
305 |
$431K |
| 2021 |
308 |
$470K |
| 2022 |
283 |
$374K |
| 2023 |
288 |
$106K |
| 2024 |
179 |
$520K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
1,584 |
1,411 |
$2.24M |