Harmony Hands Consumer Directed Services, LLC

Harmony Hands Consumer Directed Services, LLC was paid $4.64M by Medicaid between Jan 2018 and Dec 2021, 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 infoHARMONY HANDS CONSUMER DIRECTED SERVICES, LLC
SAINT LOUIS, MO 63124

33aNPI1295193134assigned 02/07/2016

33bProvider typeIn Home Supportive Care Agency

28Total paid$4.64M

24GClaims13,914

24DCodes billed1

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other In Home Supportive Care Agency providers in Missouri

Rank by total paid#82 of 321

Median peer was paid$2.00M

This provider vs. median2.3×

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.

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	3,147	$1.15M
2019	3,463	$1.29M
2020	3,890	$1.17M
2021	3,414	$1.03M

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%	13,914	3,140	$4.64M

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 officialCZARNECKI, TYLER (SENIOR EXECUTIVE DIRECTOR)

Same official

Other billing entities under CZARNECKI, TYLER

Full network →

Provider	Location	Paid
Communacare, LLC	Saint Louis, MO	$5.86M

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