Nursing facility
Lake Shore Afc, LLC
Lake Shore Afc, LLC was paid $735K by Medicaid between Jun 2019 and Jan 2022, across 2 billing codes. Its largest line is T1020, help at home with daily living, billed per day — 60% of everything it billed.
33Billing provider infoLAKE SHORE AFC, LLC
GRAWN, MI 49637
GRAWN, MI 49637
33aNPI1669968129assigned 07/09/2018
33bProvider typeAssisted Living Facility (Behavioral Disturbances)
28Total paid$735K
24GClaims454
24DCodes billed2
24AFirst – last monthJun 2019 – Jan 2022
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 | |
|---|---|---|---|
| 2019 | 158 | $217K | |
| 2020 | 184 | $328K | |
| 2021 | 82 | $144K | |
| 2022 | 30 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 60% | 227 | 192 | $442K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 40% | 227 | 192 | $293K |
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 officialSCHOLTUS, RANDY (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| West Shore Homes Afc, LLC | Grawn, MI | $297K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.