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

Ranch House Nursing Facility Operations LLC

Ranch House Nursing Facility Operations LLC was paid $1.36M by Medicaid between Nov 2020 and Nov 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoRANCH HOUSE NURSING FACILITY OPERATIONS LLC
GARDEN CITY, KS 67846
33aNPI1700383759assigned 04/06/2018
33bProvider typeSkilled Nursing Facility
28Total paid$1.36M
24GClaims368
24DCodes billed3
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Skilled Nursing Facility providers in Kansas

Rank by total paid#1 of 139
Median peer was paid$0.00
This provider vs. median0.0×

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.

Single-Code Concentration100% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official TRYON, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
202034$0.00
202126$0.00
2023124$505K
2024incomplete184$855K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5125 Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes 100% 308 294 $1.36M
90688 0% 30 30 $0.00
G0008 Administration of influenza virus vaccine 0% 30 30 $0.00

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 officialTRYON, MICHAEL (CFO)
Same official

Other billing entities under TRYON, MICHAEL

Full network →

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