Autumn Care Management INC.

Autumn Care Management INC. was paid $2.13M by Medicaid between Apr 2018 and Nov 2024, across 1 billing code. Its largest line is T2030, Assisted living, waiver; per month — 100% of everything it billed.

33Billing provider infoAUTUMN CARE MANAGEMENT INC.
KNOXVILLE, TN 37931

33aNPI1851694798assigned 12/15/2010

33bProvider typeAssisted Living Facility

28Total paid$2.13M

24GClaims2,033

24DCodes billed1

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Assisted Living Facility providers in Tennessee

Rank by total paid#2 of 31

Median peer was paid$325K

This provider vs. median6.5×

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 T2030 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
2018	226	$153K
2019	293	$287K
2020	403	$397K
2021	396	$386K
2022	302	$357K
2023	231	$297K
2024incomplete	182	$250K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2030	Assisted living, waiver; per month	100%	2,033	1,817	$2.13M

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 officialFALK, MARIAH (OWNER/DIRECTOR)