Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Guardiantrac. LLC

Guardiantrac. LLC was paid $2.68B by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 31% of everything it billed.

33Billing provider infoGUARDIANTRAC. LLC
STURGIS, MI 49091
33aNPI1710176151assigned 10/22/2007
28Total paid$2.68B
24GClaims35,557,539
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Supports Brokerage Agency providers in Michigan

Rank by total paid#1 of 7
Median peer was paid$11.68M
This provider vs. median230×

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

$0$25M$50M$75M2018201920202021202220232024
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
YearClaimsPaid
20182,285,750$147.25M
20193,905,661$218.38M
20205,229,221$322.75M
20215,548,534$371.65M
20226,095,328$469.39M
20237,448,335$691.27M
2024incomplete5,044,710$462.94M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 31% 12,381,344 609,244 $825.63M
S5135 Companion care, adult (e.g., iadl/adl); per 15 minutes 24% 6,109,389 258,680 $649.10M
S5125 Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes 9.8% 4,067,945 156,672 $262.49M
S5130 Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes 7.8% 5,941,532 382,095 $208.01M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 7.5% 2,264,752 114,099 $201.75M
T2027 Specialized childcare, waiver; per 15 minutes 3.0% 723,737 31,529 $79.74M
S5126 Attendant care services; per diem 2.6% 233,936 8,094 $68.64M
T2013 Habilitation, educational, waiver; per hour 2.0% 328,024 11,238 $52.60M
S5150 Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes 1.4% 369,498 38,131 $38.01M
T2040 Financial management, self-directed, waiver; per 15 minutes 1.4% 426,845 372,393 $37.64M
S5131 Homemaker service, nos; per diem 1.3% 145,167 4,852 $33.73M
T1005 Respite care services, up to 15 minutes 1.1% 371,150 48,994 $30.19M
56 more codes
T2025 Waiver services not otherwise specified <1% 233,342 $23.59M
T2019 Habilitation, supported employment, waiver; per 15 minutes <1% 261,426 $23.15M
T2028 Specialized supply, not otherwise specified, waiver <1% 184,459 $22.44M
T2021 Day program for adults with developmental disabilities, per 15 minutes <1% 246,180 $21.34M
T1004 Services of a qualified nursing aide, up to 15 minutes <1% 136,924 $17.46M
T2003 Non-emergency transportation, per trip <1% 263,801 $12.64M
H0043 Supported housing, per diem <1% 61,325 $10.90M
T2017 Habilitation, residential, waiver; 15 minutes <1% 59,108 $9.27M
T2012 Habilitation, educational; waiver, per diem <1% 41,850 $6.99M
T2018 Habilitation, supported employment, waiver; per diem <1% 44,148 $6.28M
T1002 Rn services, up to 15 minutes <1% 19,076 $4.32M
S5136 Companion care, adult (e.g., iadl/adl); per diem <1% 57,312 $3.60M
S0215 Non-emergency transportation; mileage, per mile <1% 163,341 $3.36M
T2020 Day habilitation, waiver; per diem <1% 32,269 $2.96M
T2041 Supports brokerage, self-directed, waiver; per 15 minutes <1% 44,704 $2.83M
H2014 Skills training and development, per 15 minutes <1% 36,487 $2.46M
H2025 Ongoing support to maintain employment, per 15 minutes <1% 18,973 $2.09M
S5161 Emergency response system; service fee, per month (excludes installation and testing) <1% 18,394 $1.62M
S5102 Adult day care, billed per day <1% 15,880 $1.57M
S5120 Chore services; per 15 minutes <1% 32,751 $1.39M
T2015 Habilitation, prevocational, waiver; per hour <1% 34,303 $1.38M
1520P <1% 12,509 $1.30M
T1017 Case management, billed per 15 minutes <1% 4,772 $1.24M
T2013TF <1% 6,594 $1.19M
T1016 Case management, each 15 minutes <1% 5,254 $1.12M
S8990 Physical or manipulative therapy performed for maintenance rather than restoration <1% 13,250 $1.08M
T5999 Supply, not otherwise specified <1% 12,161 $1.01M
H2016 Community support for mental illness or disability, billed per day <1% 3,600 $854K
S5170 Home delivered meals, including preparation; per meal <1% 65,188 $664K
T1003 Lpn/lvn services, up to 15 minutes <1% 4,940 $651K
99429 <1% 7,555 $605K
S5121 Chore services; per diem <1% 4,254 $536K
S5115 Home care training, non-family; per 15 minutes <1% 11,082 $528K
T2004 Non-emergency transport; commercial carrier, multi-pass <1% 6,164 $511K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs <1% 3,947 $485K
99199 Unlisted special service, procedure or report <1% 2,503 $337K
S9970 Health club membership, annual <1% 4,439 $333K
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) <1% 4,259 $286K
T2014 Habilitation, prevocational, waiver; per diem <1% 3,815 $259K
S9451 Exercise classes, non-physician provider, per session <1% 2,988 $246K
T2036 Therapeutic camping, overnight, waiver; each session <1% 430 $213K
S9125 Respite care, in the home, per diem <1% 1,869 $208K
97124 <1% 2,104 $183K
H0045 Respite care services, not in the home, per diem <1% 727 $181K
1019Z <1% 343 $139K
H2023 Supported employment, per 15 minutes <1% 1,871 $104K
S5151 Unskilled respite care, not hospice; per diem <1% 207 $70K
G9001 Coordinated care fee, initial rate <1% 323 $43K
1303Z <1% 242 $29K
S5116 Home care training, non-family; per session <1% 284 $17K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 120 $10K
S9446 Patient education, not otherwise classified, non-physician provider, group, per session <1% 20 $4K
S5110 Home care training, family; per 15 minutes <1% 42 $3K
99509 Home visit for assistance with activities of daily living and personal care <1% 19 $3K
T2028 U 0% 163 $0.00
RETRO Endo, colon, retro imaging 0% 129 $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 officialCARMICHAEL, JOHN (CHIEF EXECUTIVE OFFICER)