Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HIGHTOWER AND SHEPARD GROUP LLC

NPI: 1912393836 · WALDRON, AR 72958 · Assisted Living Facility · NPI assigned 04/07/2015

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.

$4.15M
Total Medicaid Paid
8,545
Total Claims
2,471
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGHTOWER, TODD (OWNER)
NPI Enumeration Date04/07/2015

Related Entities

Other providers sharing the same authorized official: HIGHTOWER, TODD

ProviderCityStateTotal Paid
HOPE'S CREEK INC. VAN BUREN AR $6.58M
RIVER LODGE ASSISTED LIVING LLC MOUNTAIN HOME AR $5.13M
THE CROSSING AT MALVERN MALVERN AR $4.35M
NORTHWEST REGIONAL SUPPORTIVE LIVING LLC HARRISON AR $4.15M
CROWN POINT RETIREMENT CENTER LLC SHERIDAN AR $2.97M
MERIDIAN HEALTHCARE LLC CASSVILLE MO $949.88

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 377 $442K
2019 499 $423K
2020 768 $486K
2021 1,263 $525K
2022 1,680 $699K
2023 2,001 $804K
2024 1,957 $768K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 8,545 2,471 $4.15M