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

Four Directions LLC was paid $12.19M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is S0215, Non-emergency transportation; mileage, per mile — 31% of everything it billed.

33Billing provider infoFOUR DIRECTIONS LLC
GILBERT, AZ 85233
33aNPI1912263997assigned 04/04/2012
28Total paid$12.19M
24GClaims182,775
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Arizona

Rank by total paid#59 of 474
Median peer was paid$1.18M
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.

Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
201843,166$3.03M
201946,829$3.23M
202025,759$1.61M
202120,713$1.13M
202218,435$1.38M
202316,816$1.18M
2024incomplete11,057$625K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0215 Non-emergency transportation; mileage, per mile 31% 37,606 13,045 $3.76M
H2016 Community support for mental illness or disability, billed per dayComprehensive community support services, per diem 25% 10,932 5,584 $3.09M
T1016 Case management, each 15 minutes 11% 49,184 19,862 $1.36M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 7.9% 9,080 4,658 $961K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 6.4% 37,581 13,042 $777K
H0038 Self-help/peer services, per 15 minutes 5.3% 11,016 5,997 $640K
H2014 Skills training and development, per 15 minutes 5.1% 6,083 3,096 $622K
H0004 Behavioral health counseling and therapy, per 15 minutes 4.8% 6,124 3,097 $589K
A0160 Non-emergency transportation: per mile - case worker or social worker 1.4% 14,149 7,555 $170K
S5150 Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes 1.3% 796 385 $163K
S5151 Unskilled respite care, not hospice; per diem <1% 192 168 $48K
H0031 Mental health assessment, by non-physician <1% 32 32 $5K

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 officialSMITH, RUSSELL (OPERATIONS MANAGER)