Residential
Clegail Professional Services LLC
Clegail Professional Services LLC was paid $2.43M by Medicaid between Mar 2018 and Dec 2024, across 1 billing code. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 100% of everything it billed.
33Billing provider infoCLEGAIL PROFESSIONAL SERVICES LLC
BURLINGTON, NC 27215
BURLINGTON, NC 27215
33aNPI1578992962assigned 11/05/2013
33bProvider typePsychiatric Residential Treatment Facility
28Total paid$2.43M
24GClaims8,014
24DCodes billed1
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Psychiatric Residential Treatment Facility providers in North Carolina
Rank by total paid#5 of 8
Median peer was paid$2.43M
This provider vs. median1.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code 99509 with only 1 total codes billed. Highly concentrated billing profile.
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 | 564 | $148K | |
| 2019 | 672 | $217K | |
| 2020 | 513 | $258K | |
| 2021 | 680 | $303K | |
| 2022 | 564 | $374K | |
| 2023 | 740 | $512K | |
| 2024incomplete | 4,281 | $620K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99509 | Home visit for assistance with activities of daily living and personal care | 100% | 8,014 | 1,376 | $2.43M |
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 officialSOWA, CLEMENT (MEMBER)