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

Riverstone Health Management, INC.

Riverstone Health Management, INC. was paid $3.75M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 100% of everything it billed.

33Billing provider infoRIVERSTONE HEALTH MANAGEMENT, INC.
NEW BERN, NC 28562
33aNPI1306978606assigned 03/12/2007
33bProvider typeAssisted Living Facility
28Total paid$3.75M
24GClaims71,783
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Assisted Living Facility providers in North Carolina

Rank by total paid#100 of 291
Median peer was paid$2.32M
This provider vs. median1.6×

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 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
201811,090$438K
20199,807$366K
202011,292$474K
202113,922$1.01M
20228,037$471K
20239,177$498K
2024incomplete8,458$491K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99509 Home visit for assistance with activities of daily living and personal care 100% 71,468 2,259 $3.74M
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems <1% 315 189 $8K

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 officialBIGLER, EDITH (OWNER)
Same official

Other billing entities under BIGLER, EDITH

Full network →
ProviderLocationPaid
Wallace Gardens INCWallace, NC$6.16M
Lake Pointe Assisted Living, INC.Lake Waccamaw, NC$234K
Water Oak ManorNew Bern, NC$148K

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