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

Simms Assisted Living LLC

Simms Assisted Living LLC was paid $4.16M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 100% of everything it billed.

33Billing provider infoSIMMS ASSISTED LIVING LLC
GRIFTON, NC 28530
33aNPI1407386030assigned 06/15/2017
33bProvider typeAssisted Living Facility
28Total paid$4.16M
24GClaims70,756
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Assisted Living Facility providers in North Carolina

Rank by total paid#85 of 291
Median peer was paid$2.32M
This provider vs. median1.8×

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

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
201810,775$442K
201910,554$460K
202010,278$587K
20219,275$668K
202210,233$736K
20239,852$634K
2024incomplete9,789$633K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99509 Home visit for assistance with activities of daily living and personal care 100% 70,756 2,353 $4.16M

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 officialSIMMS, SUSAN (OWNER)
Same official

Other billing entities under SIMMS, SUSAN

Full network →
ProviderLocationPaid
Oak Haven Assisted LivingGreenville, NC$6.45M
Red Oak Assisted LivingGreenville, NC$5.34M

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