Agency
Piedmont Premium Care,llc
Piedmont Premium Care,llc was paid $1.23M by Medicaid between Feb 2021 and Dec 2024, across 1 billing code. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 100% of everything it billed.
33Billing provider infoPIEDMONT PREMIUM CARE,LLC
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
33aNPI1831719228assigned 04/26/2020
33bProvider typeIn Home Supportive Care Agency
28Total paid$1.23M
24GClaims23,942
24DCodes billed1
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other In Home Supportive Care Agency providers in North Carolina
Rank by total paid#235 of 413
Median peer was paid$1.70M
This provider vs. median0.7×
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 99509 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 | |
|---|---|---|---|
| 2021 | 5,211 | $237K | |
| 2022 | 5,008 | $273K | |
| 2023 | 7,441 | $361K | |
| 2024incomplete | 6,282 | $364K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99509 | Home visit for assistance with activities of daily living and personal care | 100% | 23,942 | 886 | $1.23M |
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 officialSIMMONS, CYNTHIA (OWNER)