Medicaid Provider Spending

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

GAHC4 LAKE MORTON FL TRS SUB, LLC

NPI: 1952810111 · LAKELAND, FL 33801 · Assisted Living Facility · NPI assigned 09/20/2017

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official PROSKY, DANNY controls 16+ related entities in our dataset. Read more

$2.11M
Total Medicaid Paid
1,926
Total Claims
1,765
Beneficiaries
2
Codes Billed
2019-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialPROSKY, DANNY (PRESIDENT)
NPI Enumeration Date09/20/2017

Related Entities

Other providers sharing the same authorized official: PROSKY, DANNY

ProviderCityStateTotal Paid
GAHC4 FOREST OAKS FL TRS SUB, LLC SPRING HILL FL $3.26M
GAHC4 WEST HAVEN UT TRS SUB, LLC WEST HAVEN UT $3.18M
GAHC4 BRADENTON FL TRS SUB, LLC BRADENTON FL $3.03M
GAHC4 SPRING HAVEN FL TRS SUB, LLC WINTER HAVEN FL $2.88M
GAHC4 BAYSIDE FL TRS SUB, LLC PINELLAS PARK FL $2.18M
GAHC4 GRANDE FL TRS SUB, LLC BROOKSVILLE FL $2.06M
AHR SPRINGDALE TRS SUB, LLC SPRINGDALE AR $2.02M
GAHC4 RENAISSANCE FL TRS SUB, LLC SANFORD FL $1.81M
GAHC4 BALMORAL FL TRS SUB, LLC LAKE PLACID FL $1.40M
AHR CLEVELAND TRS SUB, LLC CLEVELAND MS $1.31M
GAHC4 SPRING OAKS FL TRS SUB, LLC BROOKSVILLE FL $868K
AHR BATESVILLE TRS SUB, LLC BATESVILLE MS $200K
AHR WYOMING MI TRS SUB, LLC WYOMING MI $159K
AHR NORTHVIEW GRAND RAPIDS MI TRS SUB, LLC GRAND RAPIDS MI $63K
GAHC3 WAKE FOREST NC TRS SUB, LLC WAKE FOREST NC $42K
AHR LANSING MI TRS SUB, LLC LANSING MI $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 325 $327K
2020 553 $545K
2021 454 $511K
2022 390 $442K
2023 204 $286K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 1,914 1,753 $2.11M
T1020 Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 12 12 $2K