Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Grace Consumer Directed Services LLC

Grace Consumer Directed Services LLC was paid $1.40M by Medicaid between Oct 2020 and Dec 2024, 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 infoGRACE CONSUMER DIRECTED SERVICES LLC
SAINT PETERS, MO 63303
33aNPI1376092445assigned 09/29/2016
33bProvider typeAdult Care Home Facility
28Total paid$1.40M
24GClaims3,816
24DCodes billed1
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Adult Care Home Facility providers in Missouri

Rank by total paid#4 of 15
Median peer was paid$232K
This provider vs. median6.0×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
202051$16K
2021476$172K
2022986$346K
20231,109$409K
2024incomplete1,194$457K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 3,816 777 $1.40M

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 officialBLAIR, JOY (DIRECTOR)
Same official

Other billing entities under BLAIR, JOY

Full network →
ProviderLocationPaid
Joy Home Health Care LLCSaint Peters, MO$946K

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