Four Seasons in Home Services, LLC
Four Seasons in Home Services, LLC was paid $17.94M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 85% of everything it billed.
33Billing provider infoFOUR SEASONS IN HOME SERVICES, LLC
CLINTON, MO 64735
CLINTON, MO 64735
33aNPI1477616522assigned 12/19/2006
33bProvider typeLicensed Practical Nurse
28Total paid$17.94M
24GClaims314,549
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Licensed Practical Nurse providers in Missouri
Rank by total paid#1 of 8
Median peer was paid$39K
This provider vs. median461×
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 | 60,147 | $2.77M | |
| 2019 | 49,810 | $2.37M | |
| 2020 | 50,029 | $2.29M | |
| 2021 | 43,033 | $2.24M | |
| 2022 | 38,251 | $2.50M | |
| 2023 | 38,021 | $2.91M | |
| 2024incomplete | 35,258 | $2.86M |
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) | 85% | 259,403 | 20,408 | $15.30M |
| T1001 | Nursing assessment / evaluation | 15% | 55,146 | 17,113 | $2.64M |
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 officialDESTEFANE, RICHARD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pettis County Assisted Living, L.L.C. | Sedalia, MO | $3.34M |
| Cedars of Liberty Health Care Center, L.L.C. | Liberty, MO | $3.15M |
| Four Seasons in Home Services,llc | Clinton, MO | $1.11M |
| Levering Regional Health Care Center, LLC | Hannibal, MO | $364K |
| Greenville Health Care Center, L.L.C. | Greenville, MO | $48K |
| Nathan Richard Health Care Center, LLC | Nevada, MO | $26K |
| Four Seasons in Home Services,llc | Clinton, MO | $22K |
| Portageville Health Care Center, L.L.C. | Portageville, MO | $17K |
| Mma Healthcare of Viburnum, INC. | Viburnum, MO | $10K |
| Edgewood Manor Health Care Center, L.L.C. | Raytown, MO | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.