SIMMS ASSISTED LIVING LLC
NPI: 1407386030
· GRIFTON, NC 28530
· Assisted Living Facility
· NPI assigned 06/15/2017
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.
$4.16M
Total Medicaid Paid
Provider Details
| Authorized Official | SIMMS, SUSAN (OWNER) |
| NPI Enumeration Date | 06/15/2017 |
Related Entities
Other providers sharing the same authorized official: SIMMS, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
10,775 |
$442K |
| 2019 |
10,554 |
$460K |
| 2020 |
10,278 |
$587K |
| 2021 |
9,275 |
$668K |
| 2022 |
10,233 |
$736K |
| 2023 |
9,852 |
$634K |
| 2024 |
9,789 |
$633K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99509 |
Home visit for assistance with activities of daily living and personal care |
70,756 |
2,353 |
$4.16M |