Medicaid Provider Spending

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

FOUR OAKS OPCO HOLDINGS, LLC

NPI: 1871040808 · FOUR OAKS, NC 27524 · Assisted Living Facility · NPI assigned 09/07/2016

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.

Entity Proliferation

Authorized official TREFZGER, CHARLES controls 20+ related entities in our dataset. Read more

$10.98M
Total Medicaid Paid
147,266
Total Claims
5,294
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTREFZGER, CHARLES (MANAGER)
NPI Enumeration Date09/07/2016

Related Entities

Other providers sharing the same authorized official: TREFZGER, CHARLES

ProviderCityStateTotal Paid
WP-WINSTON-SALEM HEALTH HOLDINGS, LLC WINSTON SALEM NC $16.05M
WILSON HOUSE LLC WILSON NC $11.72M
AHOSKIE HOUSE AHOSKIE NC $11.32M
RVHI,LLC GASTON NC $10.69M
WP-CLINTON HEALTH HOLDINGS, LLC CLINTON NC $10.40M
GREENSBORO HEALTH HOLDINGS, LLC GREENSBORO NC $10.12M
WP-ALBEMARLE HEALTH HOLDINGS, LLC ALBEMARLE NC $9.19M
WP-RALEIGH HEALTH HOLDINGS, LLC RALEIGH NC $8.66M
COUNTRY TIME INN LLC KINGS MOUNTAIN NC $8.25M
WP-BEULAVILLE HEALTH HOLDINGS, LLC BEULAVILLE NC $8.06M
WP-YANCEYVILLE HEALTH HOLDINGS, LLC YANCEYVILLE NC $7.85M
WP-CHARLOTTE HEALTH HOLDINGS, LLC CHARLOTTE NC $7.76M
CHARLOTTE HEALTH HOLDINGS, LLC CHARLOTTE NC $7.23M
SKYLAND HOUSE, LLC DILLSBORO NC $7.17M
TAYLORSVILLE HOUSE LLC TAYLORSVILLE NC $7.09M
DANBY HOUSE, LLC WINSTON SALEM NC $7.08M
SHI-ORANGE, LLC CHAPEL HILL NC $7.05M
WP-NEWLAND HEALTH HOLDINGS, LLC NEWLAND NC $6.99M
CLAYTON HEALTH HOLDINGS, LLC CLAYTON NC $6.86M
WP-BURNSVILLE HEALTH HOLDINGS, LLC BURNSVILLE NC $6.84M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,799 $993K
2019 23,235 $1.17M
2020 20,601 $1.40M
2021 19,015 $1.64M
2022 25,072 $2.03M
2023 23,198 $1.91M
2024 16,346 $1.84M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 147,266 5,294 $10.98M