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

Skyland House, LLC

Skyland House, LLC was paid $7.17M 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 — 100% of everything it billed.

33Billing provider infoSKYLAND HOUSE, LLC
DILLSBORO, NC 28779
33aNPI1902137128assigned 01/28/2010
33bProvider typeAssisted Living Facility
28Total paid$7.17M
24GClaims91,294
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#26 of 291
Median peer was paid$2.32M
This provider vs. median3.1×

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 2 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official TREFZGER, CHARLES controls 20+ related entities in our dataset. Read more
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
201812,811$658K
201914,570$788K
202015,539$1.28M
202113,727$1.25M
202212,594$1.04M
202312,547$1.10M
2024incomplete9,506$1.05M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99509 Home visit for assistance with activities of daily living and personal care 100% 91,246 3,305 $7.17M
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems <1% 48 24 $2K

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 officialTREFZGER, CHARLES (MANAGER)
Same official

Other billing entities under TREFZGER, CHARLES

Full network →
ProviderLocationPaid
Wp-Winston-Salem Health Holdings, LLCWinston Salem, NC$16.05M
Wilson House LLCWilson, NC$11.72M
Ahoskie HouseAhoskie, NC$11.32M
Rvhi,llcGaston, NC$10.69M
Wp-Clinton Health Holdings, LLCClinton, NC$10.40M
Greensboro Health Holdings, LLCGreensboro, NC$10.12M
Wp-Albemarle Health Holdings, LLCAlbemarle, NC$9.19M
Wp-Raleigh Health Holdings, LLCRaleigh, NC$8.66M
Country Time Inn LLCKings Mountain, NC$8.25M
Wp-Beulaville Health Holdings, LLCBeulaville, NC$8.06M
Wp-Yanceyville Health Holdings, LLCYanceyville, NC$7.85M
Wp-Charlotte Health Holdings, LLCCharlotte, NC$7.76M
Charlotte Health Holdings, LLCCharlotte, NC$7.23M
Taylorsville House LLCTaylorsville, NC$7.09M
Danby House, LLCWinston Salem, NC$7.08M
Shi-Orange, LLCChapel Hill, NC$7.05M
Wp-Newland Health Holdings, LLCNewland, NC$6.99M
Clayton Health Holdings, LLCClayton, NC$6.86M
Wp-Burnsville Health Holdings, LLCBurnsville, NC$6.84M
Mint Hill Health Holdings, LLCMint Hill, NC$6.83M

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