Four Directions LLC
Four Directions LLC was paid $858K by Medicaid between Oct 2018 and Nov 2024, across 2 billing codes. Its largest line is S5150, respite care, billed per 15 minutes — 79% of everything it billed.
33Billing provider infoFOUR DIRECTIONS LLC
MARICOPA, AZ 85138
MARICOPA, AZ 85138
33aNPI1720362155assigned 10/04/2011
33bProvider typeRespite Care
28Total paid$858K
24GClaims3,026
24DCodes billed2
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Respite Care providers in Arizona
Rank by total paid#5 of 7
Median peer was paid$1.01M
This provider vs. median0.9×
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
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 | 163 | $44K | |
| 2019 | 898 | $240K | |
| 2020 | 415 | $122K | |
| 2021 | 270 | $85K | |
| 2022 | 39 | $13K | |
| 2023 | 577 | $158K | |
| 2024incomplete | 664 | $196K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 79% | 2,318 | 975 | $676K |
| S5151 | Unskilled respite care, not hospice; per diem | 21% | 708 | 545 | $182K |
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 officialMUNOZ, ROMUALDO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Four Directions LLC | Mesa, AZ | $1.55M |
| Four Directions LLC | Maricopa, AZ | $715K |
| Four Directions LLC | Clarkdale, AZ | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.