Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

PGN Op Summit LLC

PGN Op Summit LLC was paid $1.41M by Medicaid between Sep 2020 and Dec 2022, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.

33Billing provider infoPGN OP SUMMIT LLC
COLUMBUS, OH 43219
33aNPI1871107961assigned 09/04/2020
33bProvider typeAssisted Living Facility
28Total paid$1.41M
24GClaims821
24DCodes billed1
24AFirst – last monthSep 2020 – Dec 2022
Compared with peers

Next to other Assisted Living Facility providers in Ohio

Rank by total paid#54 of 169
Median peer was paid$756K
This provider vs. median1.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official GOLDNER, SAMUEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202098$170K
2021418$732K
2022305$511K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2031 Assisted living; waiver, per diem 100% 821 766 $1.41M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGOLDNER, SAMUEL (AUTHORIZED OFFICIAL)
Same official

Other billing entities under GOLDNER, SAMUEL

Full network →
ProviderLocationPaid
SRZ Op Autumn LLCRaytown, MO$113K
Independence Mo Consulting LLCIndependence, MO$83K
Tandc Op LLCTown And Country, MO$69K
LHW Op LLCLiberty, MO$57K
SRZ Op Rolla LLCRolla, MO$55K
SRZ Op Frontier LLCSaint Charles, MO$44K
Siro Op Oakwood LLCNormandy, MO$38K
Carmel Hills Mo Consulting LLCIndependence, MO$32K
SRZ Op Ashton LLCLiberty, MO$31K
SRZ Op Meadow View LLCHarrisonville, MO$27K
Abbey Woods Operations LLCSaint Joseph, MO$20K
SJ3 Op Divers LLCSaint Joseph, MO$18K
SRZ Op Riverbend LLCLexington, MO$8K
Prest Op LLCUnion Gap, WA$4K
SRZ Op Valley View LLCMoberly, MO$3K
Siro Op Royal Oak LLCSaint Louis, MO$3K
Kansas City South Mo Consulting LLCKansas City, MO$3K
SJ3 Op Chateau LLCSaint Joseph, MO$2K
Raymore Mo Consulting LLCRaymore, MO$2K
Blue River Mo Consulting LLCKansas City, MO$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.