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

Majestic Care Middletown Assisted Living LLC

Majestic Care Middletown Assisted Living LLC was paid $5.07M by Medicaid between Jan 2021 and Nov 2024, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.

33Billing provider infoMAJESTIC CARE MIDDLETOWN ASSISTED LIVING LLC
MIDDLETOWN, OH 45044
33aNPI1336753276assigned 09/08/2020
33bProvider typeAssisted Living Facility
28Total paid$5.07M
24GClaims3,158
24DCodes billed1
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Assisted Living Facility providers in Ohio

Rank by total paid#7 of 169
Median peer was paid$756K
This provider vs. median6.7×

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 T2031 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
2021539$800K
2022824$1.32M
2023860$265K
2024incomplete935$2.69M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2031 Assisted living; waiver, per diem 100% 3,158 2,750 $5.07M

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 officialMCGUINNESS, BERNARD (OFFICER)
Same official

Other billing entities under MCGUINNESS, BERNARD

Full network →
ProviderLocationPaid
Majestic Care Fairfield Assisted Living LLCFairfield, OH$2.44M
Majestic Care of Toledo Al Operations LLCToledo, OH$1.68M

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