Nic 15 Pine Rock Manor Leasing LLC

Nic 15 Pine Rock Manor Leasing LLC was paid $1.44M by Medicaid between Jan 2018 and Feb 2020, across 1 billing code. Its largest line is T2033, Residential care, not otherwise specified (nos), waiver; per diem — 100% of everything it billed.

33Billing provider infoNIC 15 PINE ROCK MANOR LEASING LLC
WARNER, NH 03278

33aNPI1518383710assigned 03/12/2014

33bProvider typeAssisted Living Facility

28Total paid$1.44M

24GClaims710

24DCodes billed1

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Assisted Living Facility providers in New Hampshire

Rank by total paid#7 of 22

Median peer was paid$823K

This provider vs. median1.7×

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 T2033 with only 1 total codes billed. Highly concentrated billing profile.

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
2018	331	$681K
2019	329	$686K
2020	50	$71K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2033	Residential care, not otherwise specified (nos), waiver; per diem	100%	710	598	$1.44M

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 officialBOETHEL, PAUL (CEO)

Same official

Other billing entities under BOETHEL, PAUL

Full network →

Provider	Location	Paid
Nic 14 Dayton Leasing LLC	Dayton, OH	$2.98M

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