SOUTHERN MANOR REST HOME, INC.
NPI: 1417087990
· RUTHERFORDTON, NC 28139
· Assisted Living Facility
· NPI assigned 03/06/2007
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.
$2.05M
Total Medicaid Paid
Provider Details
| Authorized Official | CHAI, SEUNG KWAN (PRESIDENT/ADMINISTRATOR) |
| NPI Enumeration Date | 03/06/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,588 |
$253K |
| 2019 |
7,784 |
$278K |
| 2020 |
7,401 |
$322K |
| 2021 |
6,255 |
$379K |
| 2022 |
4,972 |
$307K |
| 2023 |
5,262 |
$335K |
| 2024 |
2,892 |
$179K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99509 |
Home visit for assistance with activities of daily living and personal care |
41,154 |
1,345 |
$2.05M |