American Consumer Directed Services, L.L.C.

American Consumer Directed Services, L.L.C. was paid $11.82M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoAMERICAN CONSUMER DIRECTED SERVICES, L.L.C.
DONIPHAN, MO 63935

33aNPI1104010081assigned 09/04/2007

33bProvider typeHealth Service Clinic/Center

28Total paid$11.82M

24GClaims161,733

24DCodes billed1

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Health Service Clinic/Center providers in Missouri

Rank by total paid#3 of 13

Median peer was paid$152K

This provider vs. median78×

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 T1019 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	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
2024incomplete	37,315	$2.27M

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)	100%	161,733	13,659	$11.82M

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 officialSPENCER, ALFREDA (DIRECTOR)

Same official

Other billing entities under SPENCER, ALFREDA

Full network →

Provider	Location	Paid
American Providers, INC.	Doniphan, MO	$13.86M
American Providers, INC.	Doniphan, MO	$3.10M

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