Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

1ST Choice Home Health Care LLC

1ST Choice Home Health Care LLC was paid $9.85M 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 info1ST CHOICE HOME HEALTH CARE LLC
SAINT LOUIS, MO 63120
33aNPI1134533904assigned 06/19/2014
28Total paid$9.85M
24GClaims148,141
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other In Home Supportive Care Agency providers in Missouri

Rank by total paid#31 of 321
Median peer was paid$2.00M
This provider vs. median4.9×

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

$0$100K$200K2018201920202021202220232024
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
201819,670$1.10M
201920,487$1.27M
202020,092$1.26M
202121,826$1.34M
202219,815$1.38M
202322,418$1.69M
2024incomplete23,833$1.81M
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) 100% 148,141 6,144 $9.85M

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 officialGUEST, YOVOUNKA (DIRECTOR/OWNER)
Same official

Other billing entities under GUEST, YOVOUNKA

Full network →
ProviderLocationPaid
1ST Choice In-Home Health Care LLCSaint Louis, MO$359K

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