Compared to Home Health Peers
Total spending distribution among 322 providers in this specialty
This provider's total spending of $133.3M is at the 25th percentile among 322 Home Health providers.
Total Paid
$133.3M
$133,275,439
Total Claims
2.3M
Beneficiaries
101K
23.3 claims/patient
Avg Cost/Claim
$57
#856 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Advantage Consumer Directed Services, LLC is a Home Health provider based in Saint Louis, MO. From the 2018–2024 period, this provider received $133.3M in Medicaid payments across 2.3M claims.
Important Context
- ℹ️This provider is a known fiscal management organization for self-directed care programs. They manage billing on behalf of thousands of individual caregivers, so aggregate billing is high by design. However, the self-directed care category has been identified as fraud-prone by regulators.
Why This Matters
This provider received $133.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,659 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 3 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 100% of total spending.
$133.1M
2.3M claims
$56.73
$82.47
Personal care services, per 15 min
$133.1M
2.3M claims · 99.9%
$108K
970 claims
$111.65
$108.97
Financial management, self-directed; per month
$108K
970 claims · 0.1%
Specialized supply, NOS; per unit
$29K
145 claims · 0.0%
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