AMERICAN CONSUMER DIRECTED SERVICES, L.L.C.
NPI: 1104010081
· DONIPHAN, MO 63935
· Health Service Clinic/Center
· NPI assigned 09/04/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$11.82M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SPENCER, ALFREDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,980 |
$1.35M |
| 2019 |
7,589 |
$1.37M |
| 2020 |
9,886 |
$1.46M |
| 2021 |
25,863 |
$1.37M |
| 2022 |
32,978 |
$1.69M |
| 2023 |
40,122 |
$2.31M |
| 2024 |
37,315 |
$2.27M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal 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) |
161,733 |
13,659 |
$11.82M |