Nursing facility
James W Wallace Dba Southern Wind Manor
James W Wallace Dba Southern Wind Manor was paid $298K by Medicaid between Nov 2020 and Dec 2022, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.
33Billing provider infoJAMES W WALLACE DBA SOUTHERN WIND MANOR
PITTSBURG, TX 75686
PITTSBURG, TX 75686
33aNPI1407997380assigned 02/12/2007
33bProvider typeAssisted Living Facility
28Total paid$298K
24GClaims772
24DCodes billed1
24AFirst – last monthNov 2020 – Dec 2022
Compared with peers
Next to other Assisted Living Facility providers in Texas
Rank by total paid#81 of 135
Median peer was paid$558K
This provider vs. median0.5×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 25 | $34K | |
| 2021 | 591 | $173K | |
| 2022 | 156 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 100% | 772 | 228 | $298K |
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 officialDYER, MELISSA (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Autumn Wind | Mineola, TX | $1.17M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.