Medicaid Provider Spending

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

PROVIDENCE PLACE ASSISTED LIVING, INC.

NPI: 1538253307 · HIGH POINT, NC 27262 · Assisted Living Facility · NPI assigned 10/03/2006

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.

$2.66M
Total Medicaid Paid
36,942
Total Claims
1,250
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHIGGINS, THOMAS (PRESIDENT/CEO)
NPI Enumeration Date10/03/2006

Related Entities

Other providers sharing the same authorized official: HIGGINS, THOMAS

ProviderCityStateTotal Paid
CITY OF BANGOR BANGOR ME $5.31M
ENT CARE CENTERS PLLC LOUISVILLE KY $1.22M
CENTRAL HEARING CENTERS, INC. GLENDALE CA $169K
BLAKE HIGGINS DDS PLLC EDWARDS CO $141K
WESTCHESTER PATHOLOGY ASSOCIATES MOUNT KISCO NY $945.13

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,750 $355K
2019 6,371 $347K
2020 6,659 $422K
2021 5,704 $608K
2022 5,124 $479K
2023 3,181 $274K
2024 2,153 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 36,942 1,250 $2.66M