MADISON HEALTH AND REHABILITATION, LLC
NPI 1497058416, organization, Mars Hill, NC, Skilled Nursing Facility
- Part of provider network D1-00130, ranked 130 nationally.
Provider networks
D1-00130 ranked 130National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MADISON HEALTH AND REHABILITATION, LLC |
| Type | Organization |
| Status | Active |
| NPI issued | December 14, 2010, last updated April 26, 2022 |
| Practice location | 345 MANOR RD, Mars Hill, NC 28754-7606, 828-689-5200 |
| Mailing address | 229 AIRPORT RD, SUITE 7-104, Arden, NC 28704-6402 |
| Authorized official | CHRISTOPHER SPRENGER (Owner/President) |
| Specialties | Skilled Nursing Facility (314000000X, primary, license NH0290 NC) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $0 | 0% | $0.00 | $59 (top 5% from $187) | too few months to rank | |
| 97530 | Therapy procedure using functional activities | $0 | 0% | $0.00 | $124 (top 5% from $387) | too few months to rank | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $0 | 0% | $0.00 | $76 (top 5% from $314) | too few months to rank |
In this area
167 providers in NC carry an indicator in the public record, with $185.8M at stake between them. The most common is more hours than a day holds, on 85 of them, followed by part of a provider network on 41. 22 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DAVID SMITH Winston Salem, NC, ranked 2 | $1.1M |
|
| 1 | MICHAEL ADIX Shelby, NC, ranked 12 | $155K |
|
| 1 | CAROLINA FAMILY AND URGENT CARE Lumberton, NC, ranked 30 | $6K |
|
| 1 | JOSEPH MEYER Fort Bragg, NC, ranked 48 | $26K |
|
| 1 | LIFE TOUCH LLC Kinston, NC, ranked 68 | $868K |
|
| 1 | ULTIMATE SACRIFICE Winston Salem, NC, ranked 96 | $365K |
|
| 1 | MALIK MUHAMMAD Durham, NC, ranked 116 | $2K |
|
| 1 | JACKSON CONSULTING AND SERVICES LLC Charlotte, NC, ranked 127 | $138K |
|
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.