CONSUMER DIRECT CARE NETWORK VIRGINIA
NPI: 1538649983
· MISSOULA, MT 59808
· Case Manager/Care Coordinator
· NPI assigned 08/15/2018
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official STEPHENS, HOLLY controls 15+ related entities in our dataset. Read more
$2.11B
Total Medicaid Paid
Provider Details
| Authorized Official | STEPHENS, HOLLY (LEGAL MANAGER) |
| Parent Organization | CONSUMER DIRECT HOLDINGS, INC. |
| NPI Enumeration Date | 08/15/2018 |
Related Entities
Other providers sharing the same authorized official: STEPHENS, HOLLY
| Provider | City | State | Total Paid |
| ALAMO CONSUMER DIRECT, LLC |
AUSTIN |
TX |
$158.76M |
| NEW MEXICO CONSUMER DIRECT PERSONAL CARE, LLC |
ALBUQUERQUE |
NM |
$149.62M |
| CONSUMER DIRECT FOR TENNESSEE, LLC |
NASHVILLE |
TN |
$126.38M |
| ARIZONA CONSUMER DIRECT PERSONAL CARE |
TUCSON |
AZ |
$121.45M |
| CONSUMER DIRECT PERSONAL CARE, LLC |
MISSOULA |
MT |
$49.02M |
| CONSUMER DIRECT SERVICES FOR NEVADA, LLC |
RENO |
NV |
$23.50M |
| CONSUMER DIRECT FOR WISCONSIN, LLC |
HUDSON |
WI |
$7.36M |
| NIGHTINGALE NURSING SERVICE, INC |
MISSOULA |
MT |
$3.07M |
| CONSUMER DIRECT FOR MINNESOTA, LLC |
HUDSON |
WI |
$2.37M |
| MONTANA HEALTH SOLUTIONS, INC. |
MISSOULA |
MT |
$1.61M |
| CONSUMER DIRECT SERVICES FOR NEVADA, LLC |
RENO |
NV |
$1.23M |
| ALLCARE CDS & FINANCIAL MANAGEMENT SERVICE, LLC. |
ALLEN |
TX |
$1.16M |
| CONSUMER DIRECT SERVICES FOR NEVADA, LLC |
RENO |
NV |
$646K |
| CONSUMER DIRECT SERVICES FOR NEVADA, LLC |
RENO |
NV |
$391K |
| NIGHTINGALE NURSING SERVICE, INC. |
MISSOULA |
MT |
$308K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
75,687 |
$5.93M |
| 2019 |
2,027,378 |
$150.43M |
| 2020 |
3,135,027 |
$239.49M |
| 2021 |
3,519,337 |
$323.04M |
| 2022 |
3,842,045 |
$386.50M |
| 2023 |
4,683,288 |
$477.93M |
| 2024 |
4,879,771 |
$522.48M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5126 |
Attendant care services; per diem |
17,914,315 |
670,739 |
$1.77B |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
3,096,639 |
334,395 |
$230.53M |
| S5136 |
Companion care, adult (e.g., iadl/adl); per diem |
1,136,419 |
52,683 |
$93.95M |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
14,064 |
10,452 |
$15.58M |
| 99199 |
Unlisted special service, procedure or report |
1,096 |
905 |
$5K |