SHOLOM COMMUNITY ALLIANCE, LLC
NPI: 1972169159
· ST LOUIS PARK, MN 55426
· Assisted Living Facility
· NPI assigned 05/14/2019
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.
$1.01M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: WYCKOFF, DOUGLAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
3,346 |
$244K |
| 2022 |
3,234 |
$223K |
| 2023 |
734 |
$87K |
| 2024 |
3,501 |
$457K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
10,815 |
355 |
$1.01M |