SUPER NATURAL ADULT DAYCARE LLC
NPI: 1710240759
· GREENVILLE, MS 38703
· Adult Day Care Clinic/Center
· NPI assigned 06/22/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5100 with only 1 total codes billed. Highly concentrated billing profile.
$3.12M
Total Medicaid Paid
Provider Details
| Authorized Official | GRAYSON, JESSIE (CEO/OWNER) |
| Parent Organization | SUPER NATURAL ADULT DAYCARE LLC |
| NPI Enumeration Date | 06/22/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,929 |
$481K |
| 2019 |
11,617 |
$655K |
| 2020 |
5,027 |
$279K |
| 2021 |
6,215 |
$343K |
| 2022 |
6,110 |
$357K |
| 2023 |
6,792 |
$459K |
| 2024 |
7,359 |
$541K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5100 |
Day care services, adult; per 15 minutes |
47,049 |
2,785 |
$3.12M |