Agency
Abilities First
Abilities First was paid $46.01M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is G9012, Other specified case management service not elsewhere classified — 100% of everything it billed.
33Billing provider infoABILITIES FIRST
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
33aNPI1861521809assigned 03/05/2007
33bProvider typeCase Management Agency
28Total paid$46.01M
24GClaims564,829
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Missouri
Rank by total paid#5 of 86
Median peer was paid$4.42M
This provider vs. median10×
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 G9012 with only 1 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 | 70,634 | $5.52M | |
| 2019 | 81,755 | $6.42M | |
| 2020 | 84,846 | $6.69M | |
| 2021 | 86,166 | $7.06M | |
| 2022 | 81,906 | $6.99M | |
| 2023 | 78,702 | $7.13M | |
| 2024incomplete | 80,820 | $6.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 100% | 564,829 | 116,938 | $46.01M |
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 officialROLLWAGEN, MAGGIE (PRESIDENT)