LAKE JAMES LODGE ASSISTED LIVING, INC.
NPI: 1124396171
· MARION, NC 28752
· Assisted Living Facility
· NPI assigned 12/06/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 99509 with only 1 total codes billed. Highly concentrated billing profile.
$4.26M
Total Medicaid Paid
Provider Details
| Authorized Official | CRUMMIE, ROBERT (PRES/CEO/ ADMINISTRATOR) |
| NPI Enumeration Date | 12/06/2011 |
Related Entities
Other providers sharing the same authorized official: CRUMMIE, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
14,956 |
$675K |
| 2019 |
4,978 |
$625K |
| 2020 |
453 |
$537K |
| 2021 |
394 |
$727K |
| 2022 |
15,763 |
$593K |
| 2023 |
17,775 |
$549K |
| 2024 |
16,097 |
$557K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99509 |
Home visit for assistance with activities of daily living and personal care |
70,416 |
2,480 |
$4.26M |