Advanced Comfort Health Solutions LLC

Advanced Comfort Health Solutions LLC was paid $12.06M 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 infoADVANCED COMFORT HEALTH SOLUTIONS LLC
SAINT LOUIS, MO 63118

33aNPI1811314230assigned 03/24/2014

33bProvider typeIn Home Supportive Care Agency

28Total paid$12.06M

24GClaims24,213

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#20 of 321

Median peer was paid$2.00M

This provider vs. median6.0×

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	2,470	$1.42M
2019	3,257	$1.43M
2020	4,405	$1.49M
2021	2,928	$1.46M
2022	3,794	$1.93M
2023	3,803	$2.20M
2024incomplete	3,556	$2.13M

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%	24,059	5,868	$12.05M
T2040	Financial management, self-directed, waiver; per 15 minutes	<1%	137	96	$10K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	17	17	$774.56

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 officialHARRELL, TANISHA (EXECUTIVE DIRECTOR)

Same official

Other billing entities under HARRELL, TANISHA

Full network →

Provider	Location	Paid
Aiding in Home,llc	Saint Charles, MO	$3.94M

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