Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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EDGEWOOD SPEARFISH SENIOR LIVING LLC

NPI: 1942486584 · SPEARFISH, SD 57783 · Assisted Living Facility (Behavioral Disturbances) · NPI assigned 01/14/2008

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.

$2.30M
Total Medicaid Paid
2,082
Total Claims
1,885
Beneficiaries
1
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHYSJULIEN, GENE (CEO)
NPI Enumeration Date01/14/2008

Related Entities

Other providers sharing the same authorized official: HYSJULIEN, GENE

ProviderCityStateTotal Paid
EDGEWOOD VIRGINIA I SENIOR LIVING LLC VIRGINIA MN $14.20M
EDGEWOOD BRAINERD SENIOR LIVING LLC BRAINERD MN $8.71M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 244 $206K
2019 326 $267K
2020 250 $274K
2021 335 $388K
2022 311 $310K
2023 327 $382K
2024 289 $469K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 2,082 1,885 $2.30M