Consumer Direct Personal Care, LLC
Consumer Direct Personal Care, LLC was paid $49.02M by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 94% of everything it billed.
MISSOULA, MT 59808
Next to other Community/Behavioral Health Agency providers in Montana
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 43,454 | $6.32M | |
| 2019 | 41,820 | $6.32M | |
| 2020 | 128,948 | $6.45M | |
| 2021 | 127,822 | $6.84M | |
| 2022 | 153,719 | $7.81M | |
| 2023 | 152,132 | $9.27M | |
| 2024incomplete | 78,035 | $6.01M |
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) | 94% | 596,547 | 30,658 | $45.91M |
| S5126 | Attendant care services; per diem | 3.9% | 63,831 | 14,271 | $1.91M |
| T2001 | Non-emergency transportation; patient attendant/escort | 1.2% | 12,091 | 4,247 | $589K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | <1% | 10,954 | 1,640 | $324K |
| A0080 | Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest | <1% | 31,077 | 6,788 | $212K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 11,430 | 2,316 | $70K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Consumer Direct Care Network Virginia | Missoula, MT | $2.11B |
| Alamo Consumer Direct, LLC | Austin, TX | $158.76M |
| New Mexico Consumer Direct Personal Care, LLC | Albuquerque, NM | $149.62M |
| Consumer Direct for Tennessee, LLC | Nashville, TN | $126.38M |
| Arizona Consumer Direct Personal Care | Tucson, AZ | $121.45M |
| Consumer Direct Services for Nevada, LLC | Reno, NV | $23.50M |
| Consumer Direct for Wisconsin, LLC | Hudson, WI | $7.36M |
| Nightingale Nursing Service, INC | Missoula, MT | $3.07M |
| Consumer Direct for Minnesota, LLC | Hudson, WI | $2.37M |
| Montana Health Solutions, INC. | Missoula, MT | $1.61M |
| Consumer Direct Services for Nevada, LLC | Reno, NV | $1.23M |
| Allcare CDS & Financial Management Service, LLC. | Allen, TX | $1.16M |
| Consumer Direct Services for Nevada, LLC | Reno, NV | $646K |
| Consumer Direct Services for Nevada, LLC | Reno, NV | $391K |
| Nightingale Nursing Service, INC. | Missoula, MT | $308K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.