417 Home Care LLC
417 Home Care LLC was paid $6.62M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 93% of everything it billed.
33Billing provider info417 HOME CARE LLC
OZARK, MO 65721
OZARK, MO 65721
33aNPI1164971933assigned 09/22/2016
33bProvider typeChore Provider
28Total paid$6.62M
24GClaims113,767
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Chore Provider providers in Missouri
Rank by total paid#13 of 33
Median peer was paid$2.01M
This provider vs. median3.3×
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 | 29,557 | $513K | |
| 2019 | 12,072 | $479K | |
| 2020 | 8,261 | $540K | |
| 2021 | 6,050 | $420K | |
| 2022 | 6,383 | $485K | |
| 2023 | 14,614 | $1.26M | |
| 2024incomplete | 36,830 | $2.92M |
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) | 93% | 103,781 | 6,584 | $6.19M |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 3.0% | 3,746 | 233 | $199K |
| T1001 | Nursing assessment / evaluation | 3.0% | 4,394 | 1,532 | $197K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | <1% | 1,846 | 199 | $37K |
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 officialRAY, JOHN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Family Care PLLC | Fayetteville, NC | $137K |
| Fort Collins Spine LLC | Fort Collins, CO | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.