Agency
1ST Access, LLC
1ST Access, LLC was paid $6.87M by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 92% of everything it billed.
33Billing provider info1ST ACCESS, LLC
RAYTOWN, MO 64133
RAYTOWN, MO 64133
33aNPI1104298876assigned 10/21/2015
33bProvider typeIn Home Supportive Care Agency
28Total paid$6.87M
24GClaims97,882
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other In Home Supportive Care Agency providers in Missouri
Rank by total paid#50 of 321
Median peer was paid$2.00M
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2018 | 13,044 | $887K | |
| 2019 | 13,861 | $1.04M | |
| 2020 | 13,749 | $944K | |
| 2021 | 18,654 | $1.05M | |
| 2022 | 14,981 | $1.06M | |
| 2023 | 14,674 | $1.13M | |
| 2024incomplete | 8,919 | $773K |
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) | 92% | 83,844 | 6,812 | $6.31M |
| T1001 | Nursing assessment / evaluation | 5.9% | 10,182 | 3,502 | $407K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 1.3% | 1,828 | 190 | $91K |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | <1% | 824 | 125 | $68K |
| MULTIPL | Transport port x-ray multipl | 0% | 1,204 | 96 | $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 officialGRAY, DARRIAN (OWNER/ PRESIDENT)
Parent organizationACCESS HOME HEALTH, INC.
| Provider | Location | Paid |
|---|---|---|
| Access Home Health, INC. | Raytown, MO | $18.60M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.