New Mexico Consumer Direct Personal Care, LLC
New Mexico Consumer Direct Personal Care, LLC was paid $149.62M by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 85% of everything it billed.
ALBUQUERQUE, NM 87113
Next to other Personal Care Attendant providers in New Mexico
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 107,183 | $19.12M | |
| 2019 | 79,443 | $20.48M | |
| 2020 | 81,896 | $21.58M | |
| 2021 | 77,440 | $22.19M | |
| 2022 | 72,605 | $23.16M | |
| 2023 | 67,244 | $23.36M | |
| 2024incomplete | 56,489 | $19.74M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99509 | Home visit for assistance with activities of daily living and personal care | 85% | 367,924 | 80,499 | $127.51M |
| G9006 | Coordinated care fee, home monitoring | 12% | 89,320 | 81,603 | $17.53M |
| 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) | 2.9% | 70,668 | 3,963 | $4.35M |
| S9999 | Sales tax | <1% | 8,949 | 2,344 | $234K |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 0% | 5,439 | 2,651 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Consumer Direct Care Network Virginia | Missoula, MT | $2.11B |
| Alamo Consumer Direct, LLC | Austin, TX | $158.76M |
| 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 |
| Montana Health Solutions, INC. | Missoula, MT | $1.61M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.