Medicaid Provider Spending

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

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
70,756
Total Claims
2,353
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMS, SUSAN (OWNER)
NPI Enumeration Date06/15/2017

Related Entities

Other providers sharing the same authorized official: SIMMS, SUSAN

ProviderCityStateTotal Paid
OAK HAVEN ASSISTED LIVING GREENVILLE NC $6.45M
RED OAK ASSISTED LIVING GREENVILLE NC $5.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 70,756 2,353 $4.16M