THE HERITAGE OF SUGAR MOUNTAIN
NPI: 1164698387
· NEWLAND, NC 28657
· Assisted Living Facility
· NPI assigned 05/07/2008
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.
$2.11M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PIERCE, CHARLES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,034 |
$348K |
| 2019 |
8,634 |
$351K |
| 2020 |
8,320 |
$412K |
| 2021 |
6,273 |
$355K |
| 2022 |
5,336 |
$325K |
| 2023 |
4,534 |
$273K |
| 2024 |
722 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99509 |
Home visit for assistance with activities of daily living and personal care |
42,853 |
1,448 |
$2.11M |