Medicaid Provider Spending

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

NPI: 1902098981 · WALLACE, NC 28466 · Assisted Living Facility · NPI assigned 08/14/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code 99509 with only 2 total codes billed. Highly concentrated billing profile.

$6.16M
Total Medicaid Paid
106,343
Total Claims
3,936
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIGLER, EDITH (PRESIDENT)
NPI Enumeration Date08/14/2007

Related Entities

Other providers sharing the same authorized official: BIGLER, EDITH

ProviderCityStateTotal Paid
RIVERSTONE HEALTH MANAGEMENT, INC. NEW BERN NC $3.75M
LAKE POINTE ASSISTED LIVING, INC. LAKE WACCAMAW NC $234K
WATER OAK MANOR NEW BERN NC $148K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,876 $761K
2019 15,652 $709K
2020 15,223 $750K
2021 14,645 $1.13M
2022 14,309 $940K
2023 14,556 $962K
2024 14,082 $906K

Billing Codes

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