Compared to Home Health Peers
Total spending distribution among 322 providers in this specialty
This provider's total spending of $392.7M is at the 75th percentile among 322 Home Health providers.
Total Paid
$392.7M
$392,677,097
Total Claims
1.9M
Beneficiaries
71K
27.1 claims/patient
Avg Cost/Claim
$205
#163 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Consumer Direct District of Columbia is a Home Health provider based in Missoula, MT. From the 2018–2024 period, this provider received $392.7M in Medicaid payments across 1.9M 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 $392.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 49,084 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 8 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 100% of total spending.
$392.6M
1.9M claims
$205.71
$82.47
Personal care services, per 15 min
$392.6M
1.9M claims · 100.0%
$60K
374 claims · 0.0%
$0
534 claims · 0.0%
$0
54 claims · 0.0%
$0
32 claims · 0.0%
$0
12 claims · 0.0%
$0
28 claims · 0.0%
$0
8K claims
$0.00
$108.97
Financial management, self-directed; per month
$0
8K claims · 0.0%
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