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

Retirement at Century Pines INC.

Retirement at Century Pines INC. was paid $3.75M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 98% of everything it billed.

33Billing provider infoRETIREMENT AT CENTURY PINES INC.
OZARK, MO 65721
33aNPI1508073040assigned 05/16/2007
33bProvider typeAssisted Living Facility
28Total paid$3.75M
24GClaims9,220
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Assisted Living Facility providers in Missouri

Rank by total paid#6 of 125
Median peer was paid$584K
This provider vs. median6.4×

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 Concentration98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official EDWARDS, JAMES controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
2018985$270K
20191,007$305K
20201,818$556K
20211,658$600K
20221,601$642K
20231,097$676K
2024incomplete1,054$698K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 98% 7,950 4,498 $3.68M
T1001 Nursing assessment / evaluation 1.6% 1,270 1,219 $61K

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 officialEDWARDS, JAMES (VICE PRESIDENT)
Same official

Other billing entities under EDWARDS, JAMES

Full network →
ProviderLocationPaid
Community Health Care, INC.Bridgeton, NJ$16.47M
Brick Board of EducationBrick, NJ$12.20M
Community Health Care, INC.Vineland, NJ$3.81M
Community Health Care, INC.Millville, NJ$3.41M
Community Health Care, INC.Glassboro, NJ$1.77M
Community Health Care, INC.Bridgeton, NJ$1.31M
Community Health Care, INC.Wildwood, NJ$1.22M
Community Health Care, INC.Vineland, NJ$838K
Community Health Care, INC.Cape May Court House, NJ$714K
Community Health Care, INC.Bridgeton, NJ$666K
Community Health Care, INC.Vineland, NJ$634K
Community Health Care, INC.Glassboro, NJ$457K
Community Health Care, INC.Vineland, NJ$310K
Community Health Care, INC.Woodbury, NJ$86K
Eye Medical & Surgical Assoc INC.Parma, OH$64K
Community Health Care, INC.Bridgeton, NJ$7K

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