Smith Care Residential, LLC

Smith Care Residential, LLC was paid $1.95M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 98% of everything it billed.

33Billing provider infoSMITH CARE RESIDENTIAL, LLC
WARRENSBURG, MO 64093

33aNPI1831798214assigned 10/18/2020

33bProvider typeAssisted Living Facility (Mental Illness)

28Total paid$1.95M

24GClaims5,061

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Assisted Living Facility (Mental Illness) providers in Missouri

Rank by total paid#3 of 40

Median peer was paid$593K

This provider vs. median3.3×

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 Concentration98% of spending on code T1019 with only 2 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	364	$117K
2019	552	$147K
2020	1,081	$305K
2021	934	$375K
2022	944	$434K
2023	611	$294K
2024incomplete	575	$279K

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)	98%	3,940	2,353	$1.90M
T1001	Nursing assessment / evaluation	2.4%	1,121	796	$46K

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 officialCOLLINS, SANDY (MANAGER)