Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Wallace Gardens INC

Wallace Gardens INC was paid $6.16M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 99% of everything it billed.

33Billing provider infoWALLACE GARDENS INC
WALLACE, NC 28466
33aNPI1902098981assigned 08/14/2007
33bProvider typeAssisted Living Facility
28Total paid$6.16M
24GClaims106,343
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Assisted Living Facility providers in North Carolina

Rank by total paid#41 of 291
Median peer was paid$2.32M
This provider vs. median2.6×

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 Concentration99% of spending on code 99509 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201817,876$761K
201915,652$709K
202015,223$750K
202114,645$1.13M
202214,309$940K
202314,556$962K
2024incomplete14,082$906K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99509 Home visit for assistance with activities of daily living and personal care 99% 105,752 3,543 $6.09M
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 1.0% 591 393 $63K

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 officialBIGLER, EDITH (PRESIDENT)
Same official

Other billing entities under BIGLER, EDITH

Full network →
ProviderLocationPaid
Riverstone Health Management, INC.New Bern, NC$3.75M
Lake Pointe Assisted Living, INC.Lake Waccamaw, NC$234K
Water Oak ManorNew Bern, NC$148K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.