Agency
Enlightened Home Care LLC81
Enlightened Home Care LLC81 was paid $815K by Medicaid between Nov 2020 and Oct 2024, across 1 billing code. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoENLIGHTENED HOME CARE LLC81
O FALLON, MO 63368
O FALLON, MO 63368
33aNPI1770024150assigned 03/17/2017
33bProvider typeHome Health Agency
28Total paid$815K
24GClaims1,763
24DCodes billed1
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Home Health Agency providers in Missouri
Rank by total paid#352 of 572
Median peer was paid$1.41M
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2020 | 117 | $39K | |
| 2021 | 599 | $245K | |
| 2022 | 69 | $39K | |
| 2023 | 516 | $286K | |
| 2024incomplete | 462 | $205K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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) | 100% | 1,763 | 478 | $815K |
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 officialKARANJA, PAMELA (EXECUTIVE DIRECTOR)