Medicaid Provider Spending

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

OAK HAVEN ASSISTED LIVING

NPI: 1881730539 · GREENVILLE, NC 27834 · Assisted Living Facility · NPI assigned 01/29/2007

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.

$6.45M
Total Medicaid Paid
92,822
Total Claims
3,139
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMS, SUSAN (PARTNER)
NPI Enumeration Date01/29/2007

Related Entities

Other providers sharing the same authorized official: SIMMS, SUSAN

ProviderCityStateTotal Paid
RED OAK ASSISTED LIVING GREENVILLE NC $5.34M
SIMMS ASSISTED LIVING LLC GRIFTON NC $4.16M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,805 $648K
2019 14,394 $702K
2020 12,621 $1.10M
2021 13,447 $886K
2022 14,061 $1.09M
2023 13,059 $1.02M
2024 12,435 $1.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 92,822 3,139 $6.45M