Medicaid Provider Spending

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

P&C ADULT CARE LLC

NPI: 1609494897 · NEWTON, NC 28658 · Adult Care Home Facility · NPI assigned 07/14/2020

Billing Flags · Automated signals — not evidence of fraud
High Claims/Beneficiary Ratio

54 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more

Single-Code Concentration

100% of spending on code 99509 with only 1 total codes billed. Highly concentrated billing profile.

$2.68M
Total Medicaid Paid
73,206
Total Claims
1,354
Beneficiaries
1
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLACK, CASEY (MEMBER MANGER/OWNER)
NPI Enumeration Date07/14/2020

Related Entities

Other providers sharing the same authorized official: BLACK, CASEY

ProviderCityStateTotal Paid
C&S ADULT CARE LLC MOORESVILLE NC $667K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 6,110 $259K
2021 14,620 $637K
2022 17,497 $536K
2023 16,327 $568K
2024 18,652 $683K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 73,206 1,354 $2.68M