Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PIEDMONT PREMIUM CARE,LLC

NPI: 1831719228 · WINSTON SALEM, NC 27101 · In Home Supportive Care Agency · NPI assigned 04/26/2020

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 99509 with only 1 total codes billed. Highly concentrated billing profile.

$1.23M
Total Medicaid Paid
23,942
Total Claims
886
Beneficiaries
1
Codes Billed
2021-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMONS, CYNTHIA (OWNER)
NPI Enumeration Date04/26/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 5,211 $237K
2022 5,008 $273K
2023 7,441 $361K
2024 6,282 $364K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 23,942 886 $1.23M