Lexicon Care, INC.
Lexicon Care, INC. was paid $110K by Medicaid between Apr 2020 and Nov 2024, across 12 billing codes. Its largest line is 94060, — 87% of everything it billed.
33Billing provider infoLEXICON CARE, INC.
AURORA, CO 80010
AURORA, CO 80010
33aNPI1225159072assigned 04/02/2007
33bProvider typeRespite Care
28Total paid$110K
24GClaims4,259
24DCodes billed12
24AFirst – last monthApr 2020 – Nov 2024
Compared with peers
Next to other Respite Care providers in Colorado
Rank by total paid#55 of 87
Median peer was paid$331K
This provider vs. median0.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KORETKE, MARY controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 16 | $85.28 | |
| 2024incomplete | 4,243 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 94060 | 87% | 189 | 130 | $96K | |
| 94010 | 4.9% | 231 | 168 | $5K | |
| 94761 | 3.1% | 124 | 124 | $3K | |
| 97533 | 1.8% | 658 | 69 | $2K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.5% | 1,677 | 117 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 1.1% | 26 | 26 | $1K |
| 94760 | <1% | 249 | 221 | $138.12 | |
| Q3014 | Telehealth originating site facility fee | <1% | 16 | 12 | $85.28 |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 598 | 100 | $54.11 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 208 | 53 | $24.69 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 213 | 25 | $0.00 |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 0% | 70 | 28 | $0.00 |
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 officialKORETKE, MARY (DIRECTOR OF REIMBURSEMENT)
| Provider | Location | Paid |
|---|---|---|
| Red Oak Rehabilitation and Care Community, LLC | Holyoke, CO | $300K |
| Ql-Rocky Mountain, LLC | Denver, CO | $47K |
| Laguna Rainbow Corporation | Casa Blanca, NM | $14K |
| Camelot Health Care, INC. | Canon City, CO | $10K |
| Ponderosa Care Communities C, LLC | Lakewood, CO | $4K |
| Buckeye C, LLC | Brighton, CO | $3K |
| Red Oak Rehabilitation and Care Community, LLC | Holyoke, CO | $3K |
| Sequoia Care Community, LLC | Denver, CO | $935.51 |
| Birch Care Community, LLC | Aurora, CO | $399.75 |
| Eagle Ridge Operating Company, LLC | Grand Junction, CO | $63.96 |
| Colorow Health Care, LLC | Olathe, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.