FOUR SEASONS ALF DBA SANFORD MANOR ALF
NPI: 1972811339
· SANFORD, FL 32771
· Assisted Living Facility (Mental Illness)
· NPI assigned 09/20/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.
$1.60M
Total Medicaid Paid
Provider Details
| Authorized Official | CARLOS, CARVIZ (ADMINISTRATOR) |
| NPI Enumeration Date | 09/20/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
271 |
$248K |
| 2020 |
240 |
$256K |
| 2021 |
274 |
$357K |
| 2022 |
323 |
$367K |
| 2023 |
235 |
$324K |
| 2024 |
255 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
1,521 |
1,418 |
$1.57M |
| 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) |
77 |
76 |
$28K |