Shea Home Care, INC.

Shea Home Care, INC. was paid $11.39M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoSHEA HOME CARE, INC.
SAINT LOUIS, MO 63132

33aNPI1801106927assigned 10/08/2010

33bProvider typeIn Home Supportive Care Agency

28Total paid$11.39M

24GClaims226,085

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other In Home Supportive Care Agency providers in Missouri

Rank by total paid#25 of 321

Median peer was paid$2.00M

This provider vs. median5.7×

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 3 total codes billed. Highly concentrated billing profile.

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	35,254	$2.01M
2019	31,718	$1.71M
2020	42,746	$1.62M
2021	50,987	$1.53M
2022	24,201	$1.55M
2023	21,098	$1.56M
2024incomplete	20,081	$1.40M

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%	225,635	7,506	$11.37M
T1001	Nursing assessment / evaluation	<1%	412	137	$17K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	<1%	38	38	$3K

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 officialSEYER, DARLENE (PRESIDENT)