ADVANTAGE CONSUMER DIRECTED SERVICES, LLC
NPI: 1902028772
· SAINT LOUIS, MO 63146
· Home Health Agency
· NPI assigned 05/02/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$133.28M
Total Medicaid Paid
Provider Details
| Authorized Official | JOHN, BOSEN (CEO) |
| NPI Enumeration Date | 05/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
149,221 |
$7.82M |
| 2019 |
244,414 |
$12.23M |
| 2020 |
275,723 |
$14.71M |
| 2021 |
313,138 |
$16.57M |
| 2022 |
392,780 |
$22.81M |
| 2023 |
521,896 |
$30.50M |
| 2024 |
450,676 |
$28.64M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal 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) |
2,346,733 |
99,920 |
$133.14M |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
970 |
896 |
$108K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
145 |
136 |
$29K |