Always First In-Home Services
Always First In-Home Services was paid $4.63M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is S5150, respite care, billed per 15 minutes — 91% of everything it billed.
CARUTHERSVILLE, MO 63830
Next to other In Home Supportive Care Agency providers in Missouri
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,127 | $310K | |
| 2019 | 10,247 | $382K | |
| 2020 | 10,745 | $392K | |
| 2021 | 13,444 | $576K | |
| 2022 | 15,145 | $899K | |
| 2023 | 21,119 | $1.13M | |
| 2024incomplete | 17,497 | $946K |
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 | 91% | 84,864 | 3,633 | $4.22M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 9.0% | 12,460 | 817 | $416K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Always First Consumer Directed Services, LLC | Caruthersville, MO | $7.94M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.