Country Pines Phase II LC

Country Pines Phase II LC was paid $1.23M by Medicaid between Jan 2018 and Jun 2023, across 1 billing code. Its largest line is H0043, Supported housing, per diem — 100% of everything it billed.

33Billing provider infoCOUNTRY PINES PHASE II LC
CLINTON, UT 84015

33aNPI1104037563assigned 05/25/2007

33bProvider typeAssisted Living Facility

28Total paid$1.23M

24GClaims1,514

24DCodes billed1

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Assisted Living Facility providers in Utah

Rank by total paid#19 of 57

Median peer was paid$699K

This provider vs. median1.8×

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 H0043 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	195	$210K
2019	216	$219K
2020	241	$249K
2021	232	$261K
2022	511	$217K
2023	119	$75K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0043	Supported housing, per diem	100%	1,514	1,046	$1.23M

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 officialMCCLELLAN, MYRNA (ADMINISTRATOR)