Agency
A-Plus Consumer Directed Services, LLC
A-Plus Consumer Directed Services, LLC was paid $1.43M by Medicaid between Mar 2018 and Jul 2023, across 1 billing code. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoA-PLUS CONSUMER DIRECTED SERVICES, LLC
SAINT ANN, MO 63074
SAINT ANN, MO 63074
33aNPI1679943476assigned 10/06/2015
33bProvider typeIn Home Supportive Care Agency
28Total paid$1.43M
24GClaims3,932
24DCodes billed1
24AFirst – last monthMar 2018 – Jul 2023
Compared with peers
Next to other In Home Supportive Care Agency providers in Missouri
Rank by total paid#195 of 321
Median peer was paid$2.00M
This provider vs. median0.7×
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 1 total codes billed. Highly concentrated billing profile.
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 | 555 | $252K | |
| 2019 | 539 | $282K | |
| 2020 | 512 | $309K | |
| 2021 | 387 | $309K | |
| 2022 | 130 | $116K | |
| 2023 | 1,809 | $160K |
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% | 3,932 | 872 | $1.43M |
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 officialHERRON, TRISH (EXECUTIVE DIRECTOR)