Residential
Four Directions LLC
Four Directions LLC was paid $1.55M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is S5150, respite care, billed per 15 minutes — 79% of everything it billed.
33Billing provider infoFOUR DIRECTIONS LLC
MESA, AZ 85212
MESA, AZ 85212
33aNPI1396177614assigned 08/09/2013
33bProvider typeMental Illness Community Based Residential Treatment Facility
28Total paid$1.55M
24GClaims5,462
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Illness Community Based Residential Treatment Facility providers in Arizona
Rank by total paid#31 of 136
Median peer was paid$356K
This provider vs. median4.3×
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.
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 | 1,194 | $334K | |
| 2019 | 1,170 | $317K | |
| 2020 | 486 | $137K | |
| 2021 | 181 | $55K | |
| 2022 | 240 | $79K | |
| 2023 | 1,102 | $299K | |
| 2024incomplete | 1,089 | $327K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 79% | 4,236 | 1,587 | $1.23M |
| S5151 | Unskilled respite care, not hospice; per diem | 21% | 1,226 | 858 | $322K |
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 officialMUNOZ, ROMUALDO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Four Directions LLC | Maricopa, AZ | $858K |
| Four Directions LLC | Maricopa, AZ | $715K |
| Four Directions LLC | Clarkdale, AZ | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.