Medicaid Provider Spending

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

MONTANA HEALTH SOLUTIONS, INC.

NPI: 1720451172 · MISSOULA, MT 59808 · In Home Supportive Care Agency · NPI assigned 11/06/2015

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.

Entity Proliferation

Authorized official STEPHENS, HOLLY controls 15+ related entities in our dataset. Read more

$1.61M
Total Medicaid Paid
7,987
Total Claims
229
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialSTEPHENS, HOLLY (LEGAL MANAGER)
Parent OrganizationCONSUMER DIRECT HOLDINGS, INC.
NPI Enumeration Date11/06/2015

Related Entities

Other providers sharing the same authorized official: STEPHENS, HOLLY

ProviderCityStateTotal Paid
CONSUMER DIRECT CARE NETWORK VIRGINIA MISSOULA MT $2.11B
ALAMO CONSUMER DIRECT, LLC AUSTIN TX $158.76M
NEW MEXICO CONSUMER DIRECT PERSONAL CARE, LLC ALBUQUERQUE NM $149.62M
CONSUMER DIRECT FOR TENNESSEE, LLC NASHVILLE TN $126.38M
ARIZONA CONSUMER DIRECT PERSONAL CARE TUCSON AZ $121.45M
CONSUMER DIRECT PERSONAL CARE, LLC MISSOULA MT $49.02M
CONSUMER DIRECT SERVICES FOR NEVADA, LLC RENO NV $23.50M
CONSUMER DIRECT FOR WISCONSIN, LLC HUDSON WI $7.36M
NIGHTINGALE NURSING SERVICE, INC MISSOULA MT $3.07M
CONSUMER DIRECT FOR MINNESOTA, LLC HUDSON WI $2.37M
CONSUMER DIRECT SERVICES FOR NEVADA, LLC RENO NV $1.23M
ALLCARE CDS & FINANCIAL MANAGEMENT SERVICE, LLC. ALLEN TX $1.16M
CONSUMER DIRECT SERVICES FOR NEVADA, LLC RENO NV $646K
CONSUMER DIRECT SERVICES FOR NEVADA, LLC RENO NV $391K
NIGHTINGALE NURSING SERVICE, INC. MISSOULA MT $308K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,987 $1.61M

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) 7,987 229 $1.61M