Nursing facility
Semma Enterprises, INC
Semma Enterprises, INC was paid $2.24M by Medicaid between Jan 2019 and Jun 2024, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.
33Billing provider infoSEMMA ENTERPRISES, INC
MIDDLETOWN, OH 45044
MIDDLETOWN, OH 45044
33aNPI1801387568assigned 05/29/2018
33bProvider typeAssisted Living Facility
28Total paid$2.24M
24GClaims1,584
24DCodes billed1
24AFirst – last monthJan 2019 – Jun 2024
Compared with peers
Next to other Assisted Living Facility providers in Ohio
Rank by total paid#29 of 169
Median peer was paid$756K
This provider vs. median3.0×
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 T2031 with only 1 total codes billed. Highly concentrated billing profile.
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 | 221 | $340K | |
| 2020 | 305 | $431K | |
| 2021 | 308 | $470K | |
| 2022 | 283 | $374K | |
| 2023 | 288 | $106K | |
| 2024incomplete | 179 | $520K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 100% | 1,584 | 1,411 | $2.24M |
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 officialGUMBERT, DIANE (CFO)
Parent organizationSEMMA ENTERPRISES, INC. DBA HAWTHORN