A Different World Consumer Direct Services LLC

A Different World Consumer Direct Services LLC was paid $1.11M by Medicaid between Jan 2018 and Apr 2022, 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 infoA DIFFERENT WORLD CONSUMER DIRECT SERVICES LLC
FERGUSON, MO 63135

33aNPI1174076343assigned 07/25/2016

33bProvider typeHome Health Agency

28Total paid$1.11M

24GClaims3,003

24DCodes billed1

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other Home Health Agency providers in Missouri

Rank by total paid#318 of 572

Median peer was paid$1.41M

This provider vs. median0.8×

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

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	1,003	$332K
2019	751	$279K
2020	426	$151K
2021	633	$265K
2022	190	$81K

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)	100%	3,003	694	$1.11M

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 officialNELSON, DANYELLE (OWNER)