PREMIER CARE ASSISTED LIVING
NPI: 1841790102
· BAY CITY, MI 48708
· Foster Care Agency
· NPI assigned 02/13/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code H2016 with only 2 total codes billed. Highly concentrated billing profile.
$13.38M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
916 |
$808K |
| 2019 |
1,098 |
$1.61M |
| 2020 |
309 |
$1.58M |
| 2021 |
564 |
$1.45M |
| 2022 |
538 |
$1.68M |
| 2023 |
1,014 |
$3.28M |
| 2024 |
833 |
$2.97M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
3,511 |
1,826 |
$12.77M |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
1,761 |
1,220 |
$602K |