Garden Manor Terrace, INC.

Garden Manor Terrace, INC. was paid $2.38M by Medicaid between Jan 2018 and Sep 2020, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.

33Billing provider infoGARDEN MANOR TERRACE, INC.
MIDDLETOWN, OH 45044

33aNPI1992112403assigned 07/16/2014

33bProvider typeAssisted Living Facility

28Total paid$2.38M

24GClaims1,694

24DCodes billed1

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other Assisted Living Facility providers in Ohio

Rank by total paid#27 of 169

Median peer was paid$756K

This provider vs. median3.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	611	$906K
2019	639	$862K
2020	444	$614K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2031	Assisted living; waiver, per diem	100%	1,694	1,498	$2.38M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCR, MICHAEL (VICE PRESIDENT OF OPERATIONS)