Medicaid Provider Spending

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

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
70,416
Total Claims
2,480
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCRUMMIE, ROBERT (PRES/CEO/ ADMINISTRATOR)
NPI Enumeration Date12/06/2011

Related Entities

Other providers sharing the same authorized official: CRUMMIE, ROBERT

ProviderCityStateTotal Paid
MOUNTAIN VIEW ASSISTED LIVING, INC HENDERSONVILLE NC $2.27M
DOGWOOD VILLAS, INC HENDERSONVILLE NC $831K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 70,416 2,480 $4.26M