Agency
A Plus Health Care INC
A Plus Health Care INC was paid $28.19M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 62% of everything it billed.
33Billing provider infoA PLUS HEALTH CARE INC
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1528088853assigned 07/20/2006
33bProvider typeCase Management Agency
28Total paid$28.19M
24GClaims492,619
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Montana
Rank by total paid#1 of 29
Median peer was paid$1.23M
This provider vs. median23×
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.
Entity ProliferationAuthorized official ANDERSON, DARBY controls 20+ related entities in our dataset. Read more
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 | 47,240 | $1.72M | |
| 2019 | 54,492 | $2.61M | |
| 2020 | 63,588 | $3.33M | |
| 2021 | 76,322 | $4.18M | |
| 2022 | 106,533 | $5.12M | |
| 2023 | 80,159 | $5.72M | |
| 2024incomplete | 64,285 | $5.51M |
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) | 62% | 358,594 | 13,982 | $17.53M |
| T1002 | Rn services, up to 15 minutes | 15% | 18,228 | 1,498 | $4.35M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 6.3% | 8,495 | 1,557 | $1.79M |
| T1003 | Lpn/lvn services, up to 15 minutes | 5.7% | 16,282 | 1,865 | $1.61M |
| S5126 | Attendant care services; per diem | 3.7% | 30,572 | 6,985 | $1.05M |
| T2001 | Non-emergency transportation; patient attendant/escort | 2.4% | 17,218 | 2,764 | $664K |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 2.0% | 3,560 | 587 | $558K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | <1% | 2,964 | 200 | $222K |
| A0080 | Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest | <1% | 17,954 | 4,215 | $144K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | <1% | 1,859 | 396 | $141K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 12,213 | 2,026 | $90K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | <1% | 1,560 | 170 | $29K |
4 more codes
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | <1% | 106 | $18K |
| S9125 | Respite care, in the home, per diem | 0% | 449 | $0.00 |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 0% | 2,392 | $0.00 |
| T1005 | Respite care services, up to 15 minutes | 0% | 173 | $0.00 |
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 officialANDERSON, DARBY (EVP CHIEF STRATEGY OFFICER)
Parent organizationADDUS HEALTHCARE, INC.
| Provider | Location | Paid |
|---|---|---|
| Girling Health Care, INC. | Austin, TX | $858.20M |
| South Shore Home Health Service, INC. | Ronkonkoma, NY | $356.44M |
| Cura Partners, LLC | Johnson City, TN | $49.26M |
| Addus Healthcare (South Carolina), INC. | Wintersville, OH | $25.57M |
| Addus Healthcare, INC. | Detroit, MI | $18.48M |
| Addus Health Care INC | Rolla, MO | $15.75M |
| Addus Health Care INC | Brinkley, AR | $13.06M |
| Addus Healthcare (South Carolina), INC. | Columbia, SC | $12.17M |
| Addus Healthcare, INC. | Santa Fe, NM | $10.55M |
| Priority Home Health Care, INC | Middleburg Heights, OH | $9.15M |
| Prac Holdings, INC. | Phoenix, AZ | $8.92M |
| County Homemakers INC | Du Bois, PA | $8.58M |
| South Shore Home Health Service, INC. | Ronkonkoma, NY | $7.80M |
| Addus Healthcare (South Carolina), INC. | North Wilkesboro, NC | $7.19M |
| Addus Health Care INC | Rolla, MO | $6.63M |
| Addus Healthcare, INC. | Meridian, ID | $6.15M |
| Prac Holdings, INC. | Marquette, MI | $5.97M |
| Addus Healthcare (South Carolina), INC. | Sumter, SC | $5.49M |
| Addus Healthcare (South Carolina), INC. | Greenville, SC | $4.49M |
| Addus Health Care INC | Rolla, MO | $4.31M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.