Medicaid Provider Spending

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

CCJ ADULT CARE II LLC

NPI: 1295403137 · LAWNDALE, NC 28090 · Adult Care Home Facility · NPI assigned 09/03/2021

Billing Flags · Automated signals — not evidence of fraud
High Claims/Beneficiary Ratio

54 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more

Single-Code Concentration

100% of spending on code 99509 with only 1 total codes billed. Highly concentrated billing profile.

$1.31M
Total Medicaid Paid
41,699
Total Claims
772
Beneficiaries
1
Codes Billed
2021-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOSCH, BERNICE (ADMINISTRATOR/OPERATOR)
NPI Enumeration Date09/03/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 4,173 $119K
2022 13,488 $401K
2023 12,403 $388K
2024 11,635 $402K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 41,699 772 $1.31M