Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALTERNATIVE CHOICES CONSUMER DIRECTED SVC LLC

NPI: 1548537590 · SAINT LOUIS, MO 63136 · Home Health Agency · NPI assigned 11/18/2011

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$7.04M
Total Medicaid Paid
106,765
Total Claims
4,224
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPENNINGTON, JACQUELINE (PRESIDENT/CEO)
NPI Enumeration Date11/18/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,486 $1.17M
2019 16,036 $956K
2020 15,083 $988K
2021 12,678 $853K
2022 12,251 $930K
2023 15,759 $1.09M
2024 13,472 $1.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal 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) 106,765 4,224 $7.04M