Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PGN OP SUMMIT LLC

NPI: 1871107961 · COLUMBUS, OH 43219 · Assisted Living Facility · NPI assigned 09/04/2020

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.

Entity Proliferation

Authorized official GOLDNER, SAMUEL controls 20+ related entities in our dataset. Read more

$1.41M
Total Medicaid Paid
821
Total Claims
766
Beneficiaries
1
Codes Billed
2020-09
First Month
2022-12
Last Month

Provider Details

Authorized OfficialGOLDNER, SAMUEL (AUTHORIZED OFFICIAL)
NPI Enumeration Date09/04/2020

Related Entities

Other providers sharing the same authorized official: GOLDNER, SAMUEL

ProviderCityStateTotal Paid
SRZ OP AUTUMN LLC RAYTOWN MO $113K
INDEPENDENCE MO CONSULTING LLC INDEPENDENCE MO $83K
TANDC OP LLC TOWN AND COUNTRY MO $69K
LHW OP LLC LIBERTY MO $57K
SRZ OP ROLLA LLC ROLLA MO $55K
SRZ OP FRONTIER LLC SAINT CHARLES MO $44K
SIRO OP OAKWOOD LLC NORMANDY MO $38K
CARMEL HILLS MO CONSULTING LLC INDEPENDENCE MO $32K
SRZ OP ASHTON LLC LIBERTY MO $31K
SRZ OP MEADOW VIEW LLC HARRISONVILLE MO $27K
ABBEY WOODS OPERATIONS LLC SAINT JOSEPH MO $20K
SJ3 OP DIVERS LLC SAINT JOSEPH MO $18K
SRZ OP RIVERBEND LLC LEXINGTON MO $8K
PREST OP LLC UNION GAP WA $4K
SRZ OP VALLEY VIEW LLC MOBERLY MO $3K
SIRO OP ROYAL OAK LLC SAINT LOUIS MO $3K
KANSAS CITY SOUTH MO CONSULTING LLC KANSAS CITY MO $3K
SJ3 OP CHATEAU LLC SAINT JOSEPH MO $2K
RAYMORE MO CONSULTING LLC RAYMORE MO $2K
BLUE RIVER MO CONSULTING LLC KANSAS CITY MO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 98 $170K
2021 418 $732K
2022 305 $511K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 821 766 $1.41M