Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Four Directions LLC

Four Directions LLC was paid $715K by Medicaid between Jun 2018 and Nov 2024, across 2 billing codes. Its largest line is S5150, respite care, billed per 15 minutes — 81% of everything it billed.

33Billing provider infoFOUR DIRECTIONS LLC
MARICOPA, AZ 85138
33aNPI1861909657assigned 01/03/2018
28Total paid$715K
24GClaims2,487
24DCodes billed2
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers

Next to other Child Mental Illness Respite Care providers in Arizona

Rank by total paid#12 of 16
Median peer was paid$1.12M
This provider vs. median0.6×

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.

Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
2018406$118K
2019781$208K
2020242$78K
202131$10K
2023424$118K
2024incomplete603$182K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5150 Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes 81% 1,977 831 $581K
S5151 Unskilled respite care, not hospice; per diem 19% 510 409 $134K

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 officialMUNOZ, ROMUALDO (OWNER)
Same official

Other billing entities under MUNOZ, ROMUALDO

Full network →
ProviderLocationPaid
Four Directions LLCMesa, AZ$1.55M
Four Directions LLCMaricopa, AZ$858K
Four Directions LLCClarkdale, AZ$33K

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