Agency
Consumer Direct for Florida
Consumer Direct for Florida was paid $156.50M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 61% of everything it billed.
33Billing provider infoCONSUMER DIRECT FOR FLORIDA
SUNRISE, FL 33351
SUNRISE, FL 33351
33aNPI1376980409assigned 05/30/2013
33bProvider typeCase Management Agency
28Total paid$156.50M
24GClaims3,713,169
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Florida
Rank by total paid#1 of 357
Median peer was paid$839K
This provider vs. median187×
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 | 312,959 | $12.12M | |
| 2019 | 1,212,790 | $48.69M | |
| 2020 | 324,909 | $12.88M | |
| 2021 | 396,652 | $13.74M | |
| 2022 | 352,738 | $13.55M | |
| 2023 | 546,834 | $26.62M | |
| 2024incomplete | 566,287 | $28.90M |
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) | 61% | 1,971,861 | 102,548 | $95.38M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 21% | 1,274,857 | 88,466 | $32.68M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 7.9% | 365,365 | 26,774 | $12.35M |
| G9012 | Other specified case management service not elsewhere classified | 7.3% | 71,082 | 68,991 | $11.40M |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | 2.5% | 25,661 | 22,648 | $3.97M |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | <1% | 2,292 | 2,274 | $471K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 1,874 | 1,828 | $174K |
| T1002 | Rn services, up to 15 minutes | <1% | 177 | 12 | $77K |
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 officialBLEDSOE, BEN (PRESIDENT/CEO)
Parent organizationCONSUMER DIRECT HOLDINGS, INC.
| Provider | Location | Paid |
|---|---|---|
| Consumer Direct District of Columbia | Missoula, MT | $392.68M |
| Alaska Consumer Direct Personal Care, LLC | Anchorage, AK | $113.52M |
| Covenant Consumer Direct | Phoenix, AZ | $2.86M |
| Consumer Direct for Michigan | Missoula, MT | $806K |
| Consumer Direct Care Network South Dakota, LLC | Missoula, MT | $87K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.