Agency
Alamo Consumer Direct, LLC
Alamo Consumer Direct, LLC was paid $158.76M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 24% of everything it billed.
33Billing provider infoALAMO CONSUMER DIRECT, LLC
AUSTIN, TX 78757
AUSTIN, TX 78757
33aNPI1336467166assigned 05/04/2010
33bProvider typeSupports Brokerage Agency
28Total paid$158.76M
24GClaims2,571,202
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Supports Brokerage Agency providers in Texas
Rank by total paid#2 of 13
Median peer was paid$6.31M
This provider vs. median25×
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.
Entity ProliferationAuthorized official STEPHENS, HOLLY controls 15+ related entities in our dataset. Read more
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 | 21,547 | $2.00M | |
| 2019 | 27,695 | $2.57M | |
| 2020 | 137,801 | $8.15M | |
| 2021 | 568,193 | $34.61M | |
| 2022 | 650,950 | $37.89M | |
| 2023 | 622,342 | $37.24M | |
| 2024incomplete | 542,674 | $36.29M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 24% | 538,390 | 24,473 | $37.77M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 21% | 640,920 | 12,530 | $32.86M |
| 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) | 20% | 442,043 | 25,577 | $32.27M |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | 6.0% | 290,978 | 62,133 | $9.54M |
| T2017 | Habilitation, residential, waiver; 15 minutes | 5.3% | 92,188 | 4,577 | $8.35M |
| M0355 | 4.7% | 51,010 | 2,370 | $7.48M | |
| T1005 | Respite care services, up to 15 minutes | 4.7% | 95,769 | 7,578 | $7.44M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 3.8% | 72,394 | 4,800 | $6.00M |
| M0361 | 3.4% | 41,435 | 2,669 | $5.40M | |
| S9125 | Respite care, in the home, per diem | 2.2% | 105,204 | 5,892 | $3.42M |
| G0749 | 1.2% | 29,219 | 1,833 | $1.91M | |
| M0209 | <1% | 7,325 | 7,199 | $1.33M |
17 more codes
| M0111 | <1% | 6,762 | $1.23M | |
| M0241 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency, subsequent repeat doses | <1% | 12,699 | $1.22M |
| M0373 | <1% | 19,764 | $592K | |
| G0226 | <1% | 2,857 | $583K | |
| M0420 | <1% | 13,534 | $343K | |
| M0145 | <1% | 3,055 | $287K | |
| G0227 | <1% | 1,859 | $206K | |
| G6063 | <1% | 27,034 | $159K | |
| H2038 | Skills training and development, per diem | <1% | 3,694 | $123K |
| G6064 | <1% | 29,097 | $82K | |
| M0202 | <1% | 173 | $50K | |
| T2020 | Day habilitation, waiver; per diem | <1% | 226 | $46K |
| M0539 | <1% | 13,210 | $29K | |
| M0538 | <1% | 14,030 | $16K | |
| M0541 | <1% | 7,910 | $15K | |
| S5151 | Unskilled respite care, not hospice; per diem | <1% | 33 | $9K |
| M0540 | <1% | 8,390 | $8K |
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 officialSTEPHENS, HOLLY (LEGAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Consumer Direct Care Network Virginia | Missoula, MT | $2.11B |
| 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 Personal Care, LLC | Missoula, MT | $49.02M |
| 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.