Nursing facility
Western North Carolina Lions, INC.
Western North Carolina Lions, INC. was paid $4.52M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 99% of everything it billed.
33Billing provider infoWESTERN NORTH CAROLINA LIONS, INC.
BLACK MOUNTAIN, NC 28711
BLACK MOUNTAIN, NC 28711
33aNPI1639298995assigned 03/28/2007
33bProvider typeAssisted Living Facility
28Total paid$4.52M
24GClaims41,383
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Assisted Living Facility providers in North Carolina
Rank by total paid#75 of 291
Median peer was paid$2.32M
This provider vs. median1.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration99% of spending on code 99509 with only 2 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 | 12,872 | $626K | |
| 2019 | 12,044 | $604K | |
| 2020 | 11,319 | $819K | |
| 2021 | 3,119 | $589K | |
| 2022 | 562 | $566K | |
| 2023 | 658 | $610K | |
| 2024incomplete | 809 | $703K |
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 | 99% | 40,985 | 2,499 | $4.49M |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 398 | 231 | $29K |
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 officialCOATES, FRANCES (ADMINISTRATOR)