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

A Better Option LLC

A Better Option LLC was paid $6.60M by Medicaid between Jan 2018 and Nov 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 infoA BETTER OPTION LLC
FLORISSANT, MO 63033
33aNPI1780091827assigned 07/22/2014
33bProvider typeHome Health Agency
28Total paid$6.60M
24GClaims20,482
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Home Health Agency providers in Missouri

Rank by total paid#75 of 572
Median peer was paid$1.41M
This provider vs. median4.7×

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.

Single-Code Concentration100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
20182,667$758K
20192,892$901K
20203,049$937K
20213,376$1.01M
20223,126$1.05M
20233,164$1.12M
2024incomplete2,208$828K
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) 100% 20,482 3,619 $6.60M

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 officialPAYNES, SHARON (EXECUTIVE DIRECTOR)
Same official

Other billing entities under PAYNES, SHARON

Full network →
ProviderLocationPaid
A Better Option Ihs LLCFlorissant, MO$1.07M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.