Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Cardinal Al Holdings, LLC

Cardinal Al Holdings, LLC was paid $3.35M by Medicaid between Oct 2018 and Jun 2024, across 2 billing codes. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 100% of everything it billed.

33Billing provider infoCARDINAL AL HOLDINGS, LLC
HENDERSONVILLE, NC 28739
33aNPI1669950994assigned 07/30/2018
33bProvider typeAssisted Living Facility
28Total paid$3.35M
24GClaims55,236
24DCodes billed2
24AFirst – last monthOct 2018 – Jun 2024
Compared with peers

Next to other Assisted Living Facility providers in North Carolina

Rank by total paid#109 of 291
Median peer was paid$2.32M
This provider vs. median1.4×

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 2 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official TREFZGER, CHARLES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20182,648$111K
201911,506$493K
202010,360$499K
20219,421$590K
20229,291$700K
202310,449$699K
2024incomplete1,561$261K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99509 Home visit for assistance with activities of daily living and personal care 100% 55,115 2,012 $3.35M
A0100 Non-emergency taxi ride to a medical appointmentNon-emergency transportation; taxi <1% 121 65 $4K

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 officialTREFZGER, CHARLES (MANAGER)
Same official

Other billing entities under TREFZGER, CHARLES

Full network →
ProviderLocationPaid
Wp-Winston-Salem Health Holdings, LLCWinston Salem, NC$16.05M
Wilson House LLCWilson, NC$11.72M
Ahoskie HouseAhoskie, NC$11.32M
Rvhi,llcGaston, NC$10.69M
Wp-Clinton Health Holdings, LLCClinton, NC$10.40M
Greensboro Health Holdings, LLCGreensboro, NC$10.12M
Wp-Albemarle Health Holdings, LLCAlbemarle, NC$9.19M
Wp-Raleigh Health Holdings, LLCRaleigh, NC$8.66M
Country Time Inn LLCKings Mountain, NC$8.25M
Wp-Beulaville Health Holdings, LLCBeulaville, NC$8.06M
Wp-Yanceyville Health Holdings, LLCYanceyville, NC$7.85M
Wp-Charlotte Health Holdings, LLCCharlotte, NC$7.76M
Charlotte Health Holdings, LLCCharlotte, NC$7.23M
Skyland House, LLCDillsboro, NC$7.17M
Taylorsville House LLCTaylorsville, NC$7.09M
Danby House, LLCWinston Salem, NC$7.08M
Shi-Orange, LLCChapel Hill, NC$7.05M
Wp-Newland Health Holdings, LLCNewland, NC$6.99M
Clayton Health Holdings, LLCClayton, NC$6.86M
Wp-Burnsville Health Holdings, LLCBurnsville, NC$6.84M

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