Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

The Heritage of Sugar Mountain

The Heritage of Sugar Mountain was paid $2.11M by Medicaid between Jan 2018 and Feb 2024, across 1 billing code. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 100% of everything it billed.

33Billing provider infoTHE HERITAGE OF SUGAR MOUNTAIN
NEWLAND, NC 28657
33aNPI1164698387assigned 05/07/2008
33bProvider typeAssisted Living Facility
28Total paid$2.11M
24GClaims42,853
24DCodes billed1
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers

Next to other Assisted Living Facility providers in North Carolina

Rank by total paid#153 of 291
Median peer was paid$2.32M
This provider vs. median0.9×

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 99509 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20189,034$348K
20198,634$351K
20208,320$412K
20216,273$355K
20225,336$325K
20234,534$273K
2024incomplete722$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99509 Home visit for assistance with activities of daily living and personal care 100% 42,853 1,448 $2.11M

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 officialPIERCE, CHARLES (OWNER)
Same official

Other billing entities under PIERCE, CHARLES

Full network →
ProviderLocationPaid
Carolina Pediatrics, PAAhoskie, NC$5.20M
The Heritage of RichlandsRichlands, NC$2.43M
The Heritage of Cedar RockMocksville, NC$421K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.