Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › NEW BERN › RIVERSTONE HEALTH MANAGEMENT, INC.

RIVERSTONE HEALTH MANAGEMENT, INC.

NPI: 1306978606 · NEW BERN, NC 28562 · Assisted Living Facility · NPI assigned 03/12/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 99509 with only 2 total codes billed. Highly concentrated billing profile.

$3.75M
Total Medicaid Paid
71,783
Total Claims
2,448
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIGLER, EDITH (OWNER)
NPI Enumeration Date03/12/2007

Related Entities

Other providers sharing the same authorized official: BIGLER, EDITH

ProviderCityStateTotal Paid
WALLACE GARDENS INC WALLACE NC $6.16M
LAKE POINTE ASSISTED LIVING, INC. LAKE WACCAMAW NC $234K
WATER OAK MANOR NEW BERN NC $148K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,090 $438K
2019 9,807 $366K
2020 11,292 $474K
2021 13,922 $1.01M
2022 8,037 $471K
2023 9,177 $498K
2024 8,458 $491K

Billing Codes

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