Alternative Hospice LLC

Alternative Hospice LLC was paid $4.06M by Medicaid between Jan 2018 and Jul 2024, across 1 billing code. Its largest line is Y9504, — 100% of everything it billed.

33Billing provider infoALTERNATIVE HOSPICE LLC
FENTON, MO 63026

33aNPI1144381492assigned 12/12/2006

33bProvider typeCommunity Based Hospice Care Agency

28Total paid$4.06M

24GClaims2,144

24DCodes billed1

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Community Based Hospice Care Agency providers in Missouri

Rank by total paid#11 of 77

Median peer was paid$783K

This provider vs. median5.2×

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 Y9504 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	728	$1.38M
2019	444	$951K
2020	21	$36K
2022	22	$39K
2023	442	$977K
2024incomplete	487	$679K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Y9504		100%	2,144	1,372	$4.06M

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 officialSPENCE, GREG (CFO)

Same official

Other billing entities under SPENCE, GREG

Full network →

Provider	Location	Paid
Silverstone SNF LLC	Rolla, MO	$830.46

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