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

Hickory Opco, LLC

Hickory Opco, LLC was paid $3.18M by Medicaid between Dec 2021 and Dec 2024, across 1 billing code. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 100% of everything it billed.

33Billing provider infoHICKORY OPCO, LLC
HICKORY, NC 28602
33aNPI1982370748assigned 08/20/2021
33bProvider typeAssisted Living Facility
28Total paid$3.18M
24GClaims27,906
24DCodes billed1
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers

Next to other Assisted Living Facility providers in North Carolina

Rank by total paid#113 of 291
Median peer was paid$2.32M
This provider vs. median1.4×

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 1 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$50K$100K2018201920202021202220232024
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
202125$46K
20229,355$1.03M
202310,724$1.09M
2024incomplete7,802$1.01M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99509 Home visit for assistance with activities of daily living and personal care 100% 27,906 1,167 $3.18M

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
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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
Skyland House, LLCDillsboro, NC$7.17M
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

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