Medicaid Provider Spending

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

HERITAGE CARE OF ELIZABETH CITY, LLC

NPI: 1952486326 · ELIZABETH CITY, NC 27909 · Assisted Living Facility · NPI assigned 10/26/2006

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.

$5.78M
Total Medicaid Paid
95,266
Total Claims
3,298
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPIERCE, GUY (MANAGING MEMBER)
NPI Enumeration Date10/26/2006

Related Entities

Other providers sharing the same authorized official: PIERCE, GUY

ProviderCityStateTotal Paid
THE OAKS OF ALAMANCE, LLC BURLINGTON NC $4.03M
CAROLINA CARE OF HALIFAX, LLC ROANOKE RAPIDS NC $2.68M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,035 $533K
2019 13,066 $554K
2020 14,682 $804K
2021 14,805 $1.20M
2022 13,200 $857K
2023 13,587 $905K
2024 13,891 $922K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 95,266 3,298 $5.78M