Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CONSUMER DIRECT PERSONAL CARE, LLC

NPI: 1154456366 · MISSOULA, MT 59808 · Community/Behavioral Health Agency · NPI assigned 02/21/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official STEPHENS, HOLLY controls 15+ related entities in our dataset. Read more

$49.02M
Total Medicaid Paid
725,930
Total Claims
59,920
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSTEPHENS, HOLLY (LEGAL MANAGER)
NPI Enumeration Date02/21/2007

Related Entities

Other providers sharing the same authorized official: STEPHENS, HOLLY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 78,035 $6.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal 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) 596,547 30,658 $45.91M
S5126 Attendant care services; per diem 63,831 14,271 $1.91M
T2001 Non-emergency transportation; patient attendant/escort 12,091 4,247 $589K
S5130 Homemaker service, nos; per 15 minutes 10,954 1,640 $324K
A0080 Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest 31,077 6,788 $212K
S0215 Non-emergency transportation; mileage, per mile 11,430 2,316 $70K