Managed care
ST. Gale's Manor
ST. Gale's Manor was paid $2.00M by Medicaid between Jan 2018 and Nov 2022, 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 infoST. GALE'S MANOR
GREENSBORO, NC 27405
GREENSBORO, NC 27405
33aNPI1861690877assigned 07/11/2007
33bProvider typePoint of Service
28Total paid$2.00M
24GClaims1,363
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Point of Service providers in North Carolina
Rank by total paid#4 of 6
Median peer was paid$2.00M
This provider vs. median1.0×
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 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 | |
|---|---|---|---|
| 2018 | 213 | $235K | |
| 2019 | 141 | $142K | |
| 2020 | 254 | $379K | |
| 2021 | 315 | $631K | |
| 2022 | 440 | $609K |
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% | 1,363 | 1,112 | $2.00M |
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 officialLAWSON, JAMES (PRESIDENT)