Medicaid Provider Spending

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

SHELBY HOUSE LLC

NPI: 1124456355 · SHELBY, NC 28150 · Assisted Living Facility · NPI assigned 10/25/2013

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 99509 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official TREFZGER, CHARLES controls 20+ related entities in our dataset. Read more

$6.07M
Total Medicaid Paid
102,013
Total Claims
3,870
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTREFZGER, CHARLES (MANAGER)
NPI Enumeration Date10/25/2013

Related Entities

Other providers sharing the same authorized official: TREFZGER, CHARLES

ProviderCityStateTotal Paid
WP-WINSTON-SALEM HEALTH HOLDINGS, LLC WINSTON SALEM NC $16.05M
WILSON HOUSE LLC WILSON NC $11.72M
AHOSKIE HOUSE AHOSKIE NC $11.32M
RVHI,LLC GASTON NC $10.69M
WP-CLINTON HEALTH HOLDINGS, LLC CLINTON NC $10.40M
GREENSBORO HEALTH HOLDINGS, LLC GREENSBORO NC $10.12M
WP-ALBEMARLE HEALTH HOLDINGS, LLC ALBEMARLE NC $9.19M
WP-RALEIGH HEALTH HOLDINGS, LLC RALEIGH NC $8.66M
COUNTRY TIME INN LLC KINGS MOUNTAIN NC $8.25M
WP-BEULAVILLE HEALTH HOLDINGS, LLC BEULAVILLE NC $8.06M
WP-YANCEYVILLE HEALTH HOLDINGS, LLC YANCEYVILLE NC $7.85M
WP-CHARLOTTE HEALTH HOLDINGS, LLC CHARLOTTE NC $7.76M
CHARLOTTE HEALTH HOLDINGS, LLC CHARLOTTE NC $7.23M
SKYLAND HOUSE, LLC DILLSBORO NC $7.17M
TAYLORSVILLE HOUSE LLC TAYLORSVILLE NC $7.09M
DANBY HOUSE, LLC WINSTON SALEM NC $7.08M
SHI-ORANGE, LLC CHAPEL HILL NC $7.05M
WP-NEWLAND HEALTH HOLDINGS, LLC NEWLAND NC $6.99M
CLAYTON HEALTH HOLDINGS, LLC CLAYTON NC $6.86M
WP-BURNSVILLE HEALTH HOLDINGS, LLC BURNSVILLE NC $6.84M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,547 $723K
2019 16,772 $780K
2020 16,115 $858K
2021 16,364 $1.01M
2022 14,688 $1.05M
2023 12,976 $865K
2024 9,551 $782K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 101,629 3,652 $6.06M
A0130 Non-emergency transportation: wheelchair van 384 218 $10K