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

Access II Independent Living Center INC.

Access II Independent Living Center INC. was paid $8.02M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoACCESS II INDEPENDENT LIVING CENTER INC.
GALLATIN, MO 64640
33aNPI1568416600assigned 05/22/2006
28Total paid$8.02M
24GClaims125,993
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Health Service Clinic/Center providers in Missouri

Rank by total paid#4 of 13
Median peer was paid$152K
This provider vs. median53×

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.

Single-Code Concentration100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
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
201823,141$1.41M
201920,268$1.24M
202019,594$1.20M
202117,355$1.03M
202215,740$1.02M
202315,196$1.08M
2024incomplete14,699$1.04M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 100% 125,925 6,258 $8.02M
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs <1% 68 67 $5K

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 officialSWYMELER, HEATHER (EXECUTIVE DIRECTOR)
Same official

Other billing entities under SWYMELER, HEATHER

Full network →
ProviderLocationPaid
Access II Independent Living CenterGallatin, MO$1.69M

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