Medicaid Provider Spending

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

A-PLUS CONSUMER DIRECTED SERVICES, LLC

NPI: 1679943476 · SAINT ANN, MO 63074 · In Home Supportive Care Agency · NPI assigned 10/06/2015

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.

$1.43M
Total Medicaid Paid
3,932
Total Claims
872
Beneficiaries
1
Codes Billed
2018-03
First Month
2023-07
Last Month

Provider Details

Authorized OfficialHERRON, TRISH (EXECUTIVE DIRECTOR)
NPI Enumeration Date10/06/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 555 $252K
2019 539 $282K
2020 512 $309K
2021 387 $309K
2022 130 $116K
2023 1,809 $160K

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) 3,932 872 $1.43M