Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Adriatic Home Health, LLC

Adriatic Home Health, LLC was paid $2.40M by Medicaid between Apr 2022 and Dec 2024, across 4 billing codes. Its largest line is S5150, respite care, billed per 15 minutes — 55% of everything it billed.

33Billing provider infoADRIATIC HOME HEALTH, LLC
SAINT LOUIS, MO 63129
33aNPI1528728102assigned 12/23/2021
28Total paid$2.40M
24GClaims39,025
24DCodes billed4
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers

Next to other In Home Supportive Care Agency providers in Missouri

Rank by total paid#144 of 321
Median peer was paid$2.00M
This provider vs. median1.2×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20223,928$198K
202315,024$863K
2024incomplete20,073$1.34M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5150 Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes 55% 25,080 1,039 $1.33M
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) 35% 10,041 514 $847K
T1001 Nursing assessment / evaluation 9.5% 3,878 987 $227K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs <1% 26 26 $2K

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 officialMAKSUMIC, SEJLA (OWNER/EXECUTIVE DIRECTOR)
Same official

Other billing entities under MAKSUMIC, SEJLA

Full network →
ProviderLocationPaid
Adriatic CDS, LLCSaint Louis, MO$5.30M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.