Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Managed care

Heartland Consumer Directed Services

Heartland Consumer Directed Services was paid $2.18M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoHEARTLAND CONSUMER DIRECTED SERVICES
SAINT LOUIS, MO 63132
33aNPI1033462460assigned 10/23/2012
28Total paid$2.18M
24GClaims38,781
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Health Maintenance Organization providers in Missouri

Rank by total paid#5 of 12
Median peer was paid$436K
This provider vs. median5.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20186,240$329K
20194,902$256K
20205,226$263K
20215,356$272K
20225,505$311K
20236,017$385K
2024incomplete5,535$366K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 99% 38,529 1,523 $2.17M
S5150 Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes <1% 252 29 $16K

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 officialWALKER, JUNE (EXECUTIVE DIRECTOR)
Same official

Other billing entities under WALKER, JUNE

Full network →
ProviderLocationPaid
Genesis Adult Care, LLCSaint Louis, MO$1.28M
Journey Home Care LLCSaint Louis, MO$445K

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