Tenacious Living, LLC

Tenacious Living, LLC was paid $11.04M by Medicaid between Jan 2018 and Sep 2023, across 2 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 92% of everything it billed.

33Billing provider infoTENACIOUS LIVING, LLC
JACKSON, MI 49203

33aNPI1134594849assigned 12/07/2015

33bProvider typeIn Home Supportive Care Agency

28Total paid$11.04M

24GClaims59,297

24DCodes billed2

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other In Home Supportive Care Agency providers in Michigan

Rank by total paid#15 of 94

Median peer was paid$1.34M

This provider vs. median8.2×

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 Concentration92% of spending on code H2015 with only 2 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	1,101	$300K
2019	3,130	$439K
2020	7,565	$1.44M
2021	15,832	$2.62M
2022	19,572	$3.34M
2023	12,097	$2.90M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	92%	58,697	1,689	$10.17M
H0043	Supported housing, per diem	7.9%	600	194	$871K

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 officialMONK, LISA (CO-OWNER)