Country Pines Retirement Home

Country Pines Retirement Home was paid $3.08M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T2031, Assisted living; waiver, per diem — 99% of everything it billed.

33Billing provider infoCOUNTRY PINES RETIREMENT HOME
CLINTON, UT 84015

33aNPI1992866024assigned 12/13/2006

33bProvider typeAssisted Living Facility

28Total paid$3.08M

24GClaims2,952

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Assisted Living Facility providers in Utah

Rank by total paid#7 of 57

Median peer was paid$699K

This provider vs. median4.4×

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 Concentration99% of spending on code T2031 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	301	$475K
2019	532	$581K
2020	293	$484K
2021	227	$374K
2022	484	$307K
2023	452	$374K
2024incomplete	663	$484K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2031	Assisted living; waiver, per diem	99%	2,927	1,494	$3.04M
T2016	A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem	1.4%	25	23	$44K

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 officialPETERSEN, SARAH (DIRECTOR OF NURSING)