P&C Adult Care LLC

P&C Adult Care LLC was paid $2.68M by Medicaid between Aug 2020 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 infoP&C ADULT CARE LLC
NEWTON, NC 28658

33aNPI1609494897assigned 07/14/2020

33bProvider typeAdult Care Home Facility

28Total paid$2.68M

24GClaims73,206

24DCodes billed1

24AFirst – last monthAug 2020 – Dec 2024

Compared with peers

Next to other Adult Care Home Facility providers in North Carolina

Rank by total paid#34 of 111

Median peer was paid$1.31M

This provider vs. median2.0×

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.

High Claims/Beneficiary Ratio54 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more

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

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%	73,206	1,354	$2.68M

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 officialBLACK, CASEY (MEMBER MANGER/OWNER)

Same official

Other billing entities under BLACK, CASEY

Full network →

Provider	Location	Paid
C&S Adult Care LLC	Mooresville, NC	$667K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.