Medicaid Provider Spending

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

RED OAK ASSISTED LIVING

NPI: 1497891147 · GREENVILLE, NC 27834 · Assisted Living Facility · NPI assigned 01/29/2007

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.

$5.34M
Total Medicaid Paid
85,354
Total Claims
3,017
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMS, SUSAN (PARTNER)
NPI Enumeration Date01/29/2007

Related Entities

Other providers sharing the same authorized official: SIMMS, SUSAN

ProviderCityStateTotal Paid
OAK HAVEN ASSISTED LIVING GREENVILLE NC $6.45M
SIMMS ASSISTED LIVING LLC GRIFTON NC $4.16M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,782 $590K
2019 13,651 $629K
2020 13,152 $1.01M
2021 11,644 $840K
2022 11,751 $822K
2023 10,977 $726K
2024 11,397 $714K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 85,354 3,017 $5.34M