Managed care
Centene Management Company LLC
Centene Management Company LLC was paid $10K by Medicaid between Jul 2019 and Aug 2021, across 8 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 86% of everything it billed.
33Billing provider infoCENTENE MANAGEMENT COMPANY LLC
ST. LOUIS, MO 63105
ST. LOUIS, MO 63105
33aNPI1013296995assigned 08/10/2011
33bProvider typeHealth Maintenance Organization
28Total paid$10K
24GClaims1,110
24DCodes billed8
24AFirst – last monthJul 2019 – Aug 2021
Compared with peers
Next to other Health Maintenance Organization providers in Missouri
Rank by total paid#12 of 12
Median peer was paid$436K
This provider vs. median0.0×
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.
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 | |
|---|---|---|---|
| 2019 | 782 | $10K | |
| 2020 | 194 | $0.00 | |
| 2021 | 134 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 86% | 641 | 509 | $9K |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 14% | 33 | 23 | $1K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 100 | 88 | $0.00 |
| S5170 | Home delivered meals, including preparation; per meal | 0% | 143 | 61 | $0.00 |
| T1001 | Nursing assessment / evaluation | 0% | 34 | 17 | $0.00 |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 0% | 51 | 32 | $0.00 |
| T2031 | Assisted living; waiver, per diem | 0% | 25 | 20 | $0.00 |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 0% | 83 | 66 | $0.00 |
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 officialSCHEFFEL, WILLIAM (VICE PRESIDENT/TREASURER)
Parent organizationCENTENE CORPORATION