Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CEDAR COVE ASSISTED LIVING, LLC

NPI: 1558667790 · WILMINGTON, NC 28412 · Adult Care Home Facility · NPI assigned 02/07/2011

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.

$4.34M
Total Medicaid Paid
10,975
Total Claims
2,422
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARROLL, JAMES (MEMBER)
NPI Enumeration Date02/07/2011

Related Entities

Other providers sharing the same authorized official: CARROLL, JAMES

ProviderCityStateTotal Paid
MAIN LINE REHABILITATION ASSOCIATES EXTON PA $5.41M
MAIN LINE REHABILITATION ASSOCIATES INC EXTON PA $251K
JAMES R CARROLL MD PA MULLINS SC $174K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,944 $523K
2019 1,837 $500K
2020 1,558 $497K
2021 762 $652K
2022 1,483 $645K
2023 1,687 $843K
2024 1,704 $682K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 10,975 2,422 $4.34M