Medicaid Provider Spending

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

COVENANT CONSUMER DIRECT

NPI: 1649511056 · PHOENIX, AZ 85018 · Community/Behavioral Health Agency · NPI assigned 03/11/2013

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

95% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$2.86M
Total Medicaid Paid
10,289
Total Claims
2,346
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialBLEDSOE, BEN (PRESIDENT/CEO)
NPI Enumeration Date03/11/2013

Related Entities

Other providers sharing the same authorized official: BLEDSOE, BEN

ProviderCityStateTotal Paid
CONSUMER DIRECT DISTRICT OF COLUMBIA MISSOULA MT $392.68M
CONSUMER DIRECT FOR FLORIDA SUNRISE FL $156.50M
ALASKA CONSUMER DIRECT PERSONAL CARE, LLC ANCHORAGE AK $113.52M
CONSUMER DIRECT FOR MICHIGAN MISSOULA MT $806K
CONSUMER DIRECT CARE NETWORK SOUTH DAKOTA, LLC MISSOULA MT $87K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,757 $2.40M
2019 1,532 $454K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 9,222 1,902 $2.72M
S5150 Unskilled respite care, not hospice; per 15 minutes 854 234 $118K
T2040 Financial management, self-directed, waiver; per 15 minutes 213 210 $18K