Medicaid Provider Spending

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

CAROLINA CARE OF HALIFAX, LLC

NPI: 1528143989 · ROANOKE RAPIDS, NC 27870 · Assisted Living Facility · NPI assigned 10/26/2006

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.

$2.68M
Total Medicaid Paid
48,906
Total Claims
1,658
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPIERCE, GUY (MANAGING MEMBER)
NPI Enumeration Date10/26/2006

Related Entities

Other providers sharing the same authorized official: PIERCE, GUY

ProviderCityStateTotal Paid
HERITAGE CARE OF ELIZABETH CITY, LLC ELIZABETH CITY NC $5.78M
THE OAKS OF ALAMANCE, LLC BURLINGTON NC $4.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,459 $281K
2019 5,901 $252K
2020 6,482 $293K
2021 6,427 $378K
2022 7,131 $463K
2023 8,258 $512K
2024 8,248 $504K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 48,906 1,658 $2.68M