Agency
Consumer Direct District of Columbia
Consumer Direct District of Columbia was paid $392.68M by Medicaid between Jan 2018 and Jun 2023, across 8 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 infoCONSUMER DIRECT DISTRICT OF COLUMBIA
MISSOULA, MT 59802
MISSOULA, MT 59802
33aNPI1619334323assigned 01/26/2016
33bProvider typeHome Health Agency
28Total paid$392.68M
24GClaims1,917,345
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Home Health Agency providers in Montana
Rank by total paid#1 of 13
Median peer was paid$66K
This provider vs. median5,928×
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
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 | 203,773 | $42.52M | |
| 2019 | 276,181 | $57.88M | |
| 2020 | 354,007 | $76.68M | |
| 2021 | 408,557 | $90.89M | |
| 2022 | 464,379 | $107.31M | |
| 2023 | 210,448 | $17.40M |
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) | 100% | 1,908,643 | 62,039 | $392.62M |
| G9001 | Coordinated care fee, initial rate | <1% | 374 | 303 | $60K |
| 0001 | 0% | 534 | 534 | $0.00 | |
| 2002 | 0% | 12 | 12 | $0.00 | |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | 0% | 7,668 | 7,668 | $0.00 |
| 2001 | 0% | 32 | 32 | $0.00 | |
| 0003 | Infec agen detec ampli probe | 0% | 54 | 54 | $0.00 |
| 2003 | 0% | 28 | 25 | $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 officialBLEDSOE, BEN (PRESIDENT/CEO)
Parent organizationCONSUMER DIRECT HOLDINGS, INC.
| Provider | Location | Paid |
|---|---|---|
| Consumer Direct for Florida | Sunrise, FL | $156.50M |
| Alaska Consumer Direct Personal Care, LLC | Anchorage, AK | $113.52M |
| Covenant Consumer Direct | Phoenix, AZ | $2.86M |
| Consumer Direct for Michigan | Missoula, MT | $806K |
| Consumer Direct Care Network South Dakota, LLC | Missoula, MT | $87K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.