Medicaid Provider Spending

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

NPI: 1891031399 · MONROE, NJ 08831 · Assisted Living Facility · NPI assigned 01/02/2013

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.

$11.33M
Total Medicaid Paid
6,385
Total Claims
5,745
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSCHAFFER, DEENA (MEMBER)
NPI Enumeration Date01/02/2013

Related Entities

Other providers sharing the same authorized official: SCHAFFER, DEENA

ProviderCityStateTotal Paid
SPECIAL NEEDS RESIDENCE LLC WARREN NJ $19.05M
MT BETHEL DAY PROGRAM LLC WARREN NJ $12.71M
BALD EAGLE SENIOR LIVING WEST MILFORD NJ $1.88M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,004 $1.49M
2019 1,050 $1.51M
2020 800 $1.16M
2021 784 $1.22M
2022 997 $1.90M
2023 1,123 $2.48M
2024 627 $1.58M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 6,385 5,745 $11.33M