WESTERN NORTH CAROLINA LIONS, INC.
NPI: 1639298995
· BLACK MOUNTAIN, NC 28711
· Assisted Living Facility
· NPI assigned 03/28/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code 99509 with only 2 total codes billed. Highly concentrated billing profile.
$4.52M
Total Medicaid Paid
Provider Details
| Authorized Official | COATES, FRANCES (ADMINISTRATOR) |
| NPI Enumeration Date | 03/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,872 |
$626K |
| 2019 |
12,044 |
$604K |
| 2020 |
11,319 |
$819K |
| 2021 |
3,119 |
$589K |
| 2022 |
562 |
$566K |
| 2023 |
658 |
$610K |
| 2024 |
809 |
$703K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99509 |
Home visit for assistance with activities of daily living and personal care |
40,985 |
2,499 |
$4.49M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
398 |
231 |
$29K |