Agency
Al Adl LLC
Al Adl LLC was paid $2.85M by Medicaid between Oct 2018 and Dec 2024, across 1 billing code. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoAL ADL LLC
WEST DES MOINES, IA 50266
WEST DES MOINES, IA 50266
33aNPI1699255067assigned 08/15/2018
33bProvider typeIn Home Supportive Care Agency
28Total paid$2.85M
24GClaims34,608
24DCodes billed1
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other In Home Supportive Care Agency providers in Iowa
Rank by total paid#9 of 23
Median peer was paid$950K
This provider vs. median3.0×
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 S5125 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 | 229 | $81K | |
| 2019 | 5,016 | $566K | |
| 2020 | 4,506 | $545K | |
| 2021 | 7,466 | $460K | |
| 2022 | 6,536 | $442K | |
| 2023 | 5,975 | $412K | |
| 2024incomplete | 4,880 | $347K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 100% | 34,608 | 5,075 | $2.85M |
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 officialAGRIGNAN, RAOUF (PRESIDENT)