Nursing facility
West Shore Homes Afc, LLC
West Shore Homes Afc, LLC was paid $297K by Medicaid between Jun 2019 and Mar 2020, across 2 billing codes. Its largest line is T1020, help at home with daily living, billed per day — 59% of everything it billed.
33Billing provider infoWEST SHORE HOMES AFC, LLC
GRAWN, MI 49637
GRAWN, MI 49637
33aNPI1558801118assigned 03/02/2017
33bProvider typeAdult Care Home Facility
28Total paid$297K
24GClaims196
24DCodes billed2
24AFirst – last monthJun 2019 – Mar 2020
Compared with peers
Next to other Adult Care Home Facility providers in Michigan
Rank by total paid#30 of 35
Median peer was paid$3.10M
This provider vs. median0.1×
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.
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 | |
|---|---|---|---|
| 2019 | 172 | $251K | |
| 2020 | 24 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, 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) | 59% | 98 | 72 | $175K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 41% | 98 | 72 | $122K |
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 officialSCHOLTUS, RANDY (ADMINISTRATOR/ LICENSE DESIGNEE)
| Provider | Location | Paid |
|---|---|---|
| Lake Shore Afc, LLC | Grawn, MI | $735K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.