Agency
Pender Adult Service, INC
Pender Adult Service, INC was paid $7.99M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 61% of everything it billed.
33Billing provider infoPENDER ADULT SERVICE, INC
BURGAW, NC 28425
BURGAW, NC 28425
33aNPI1568514057assigned 01/17/2007
33bProvider typeCase Management Agency
28Total paid$7.99M
24GClaims77,559
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in North Carolina
Rank by total paid#38 of 195
Median peer was paid$2.05M
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2018 | 20,246 | $1.14M | |
| 2019 | 16,108 | $990K | |
| 2020 | 8,253 | $1.28M | |
| 2021 | 7,395 | $1.18M | |
| 2022 | 7,147 | $1.23M | |
| 2023 | 9,573 | $1.20M | |
| 2024incomplete | 8,837 | $977K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 61% | 45,627 | 2,210 | $4.90M |
| T1016 | Case management, each 15 minutes | 24% | 14,808 | 6,142 | $1.95M |
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | 12% | 5,581 | 2,829 | $925K |
| S5170 | Home delivered meals, including preparation; per meal | <1% | 8,418 | 434 | $64K |
| A4554 | Disposable underpads, all sizes | <1% | 655 | 618 | $37K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 663 | 563 | $37K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 522 | 471 | $22K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 368 | 338 | $21K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | <1% | 323 | 305 | $19K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 295 | 229 | $9K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 261 | 242 | $3K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 25 | 24 | $2K |
1 more codes
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | <1% | 13 | $674.40 |
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 officialDAVIS, WESLEY (EXECUTIVE DIRECTOR)