GODWATER SAG HOLDINGS LLC
NPI: 1891187969
· ARCADIA, CA 91007
· Assisted Living Facility
· NPI assigned 02/26/2015
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.
$7.38M
Total Medicaid Paid
Provider Details
| Authorized Official | GARCIA, LOURDES (MANAGING MEMBER) |
| NPI Enumeration Date | 02/26/2015 |
Related Entities
Other providers sharing the same authorized official: GARCIA, LOURDES
| Provider | City | State | Total Paid |
|---|
| MORGAR CSP |
CAROLINA |
PR |
$6K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
494 |
$1.07M |
| 2022 |
882 |
$1.33M |
| 2023 |
1,547 |
$2.43M |
| 2024 |
1,495 |
$2.56M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
4,418 |
2,421 |
$7.38M |