Medicaid Provider Spending

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

TINTON FALLS SENIOR CARE, LLC

NPI: 1992085062 · TINTON FALLS, NJ 07701 · Assisted Living Facility · NPI assigned 08/22/2011

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.

$2.93M
Total Medicaid Paid
1,776
Total Claims
1,603
Beneficiaries
1
Codes Billed
2018-03
First Month
2024-06
Last Month

Provider Details

Authorized OfficialBERNIER, ROGER (COO)
Parent OrganizationCMG CHELSEA SENIOR CARE, LLC
NPI Enumeration Date08/22/2011

Related Entities

Other providers sharing the same authorized official: BERNIER, ROGER

ProviderCityStateTotal Paid
MONTVILLE SENIOR CARE, LLC MONTVILLE NJ $6.52M
BRICK SENIOR CARE, LLC BRICK NJ $3.78M
BRIDGEWATER SENIOR CARE, LLC BRIDGEWATER NJ $3.58M
MANALAPAN SENIOR CARE, LLC MANALAPAN NJ $2.68M
EAST BRUNSWICK SENIOR CARE, LLC EAST BRUNSWICK NJ $2.51M
WARREN SENIOR CARE, LLC WARREN NJ $1.17M
FANWOOD SENIOR CARE, LLC FANWOOD NJ $809K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100 $161K
2019 206 $350K
2020 258 $354K
2021 329 $518K
2022 388 $682K
2023 385 $661K
2024 110 $201K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 1,776 1,603 $2.93M