Durham Rest Home INC

Durham Rest Home INC was paid $4.97M by Medicaid between Jan 2018 and Nov 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 infoDURHAM REST HOME INC
DURHAM, NC 27704

33aNPI1992879175assigned 11/20/2006

33bProvider typeAssisted Living Facility

28Total paid$4.97M

24GClaims90,287

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Assisted Living Facility providers in North Carolina

Rank by total paid#65 of 291

Median peer was paid$2.32M

This provider vs. median2.1×

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 1 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	11,454	$420K
2019	16,370	$722K
2020	17,342	$796K
2021	14,250	$1.11M
2022	11,965	$736K
2023	9,689	$610K
2024incomplete	9,217	$570K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99509	Home visit for assistance with activities of daily living and personal care	100%	90,287	2,764	$4.97M

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 officialEVANS, RILEY (PRESIDENT)