Four Seasons in Home Services,llc
Four Seasons in Home Services,llc was paid $1.11M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is S5150, respite care, billed per 15 minutes — 74% of everything it billed.
33Billing provider infoFOUR SEASONS IN HOME SERVICES,LLC
CLINTON, MO 64735
CLINTON, MO 64735
33aNPI1477681344assigned 03/01/2007
33bProvider typeHomemaker
28Total paid$1.11M
24GClaims32,768
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Homemaker providers in Missouri
Rank by total paid#12 of 20
Median peer was paid$1.33M
This provider vs. median0.8×
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 | 6,860 | $213K | |
| 2019 | 5,971 | $187K | |
| 2020 | 5,899 | $180K | |
| 2021 | 4,789 | $176K | |
| 2022 | 1,766 | $60K | |
| 2023 | 2,965 | $108K | |
| 2024incomplete | 4,518 | $184K |
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 | 74% | 16,875 | 1,032 | $814K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 26% | 15,893 | 2,385 | $293K |
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 |
|---|---|---|
| Four Seasons in Home Services, LLC | Clinton, MO | $17.94M |
| Pettis County Assisted Living, L.L.C. | Sedalia, MO | $3.34M |
| Cedars of Liberty Health Care Center, L.L.C. | Liberty, MO | $3.15M |
| 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.