Agency
B-4 Day Program and Residential Services INC.
B-4 Day Program and Residential Services INC. was paid $1.86M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is T2021, day program for adults with developmental disabilities, per 15 minutes — 94% of everything it billed.
33Billing provider infoB-4 DAY PROGRAM AND RESIDENTIAL SERVICES INC.
PUEBLO, CO 81006
PUEBLO, CO 81006
33aNPI1255654935assigned 03/09/2010
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$1.86M
24GClaims2,872
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Colorado
Rank by total paid#85 of 152
Median peer was paid$2.44M
This provider vs. median0.8×
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.
Single-Code Concentration94% of spending on code T2021 with only 2 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2018 | 582 | $292K | |
| 2019 | 539 | $272K | |
| 2020 | 327 | $216K | |
| 2021 | 253 | $203K | |
| 2022 | 344 | $251K | |
| 2023 | 351 | $262K | |
| 2024incomplete | 476 | $367K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 94% | 2,216 | 1,787 | $1.74M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 6.5% | 656 | 615 | $121K |
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 officialARMSTRONG, JOYCE (OWNER/DIRECTOR)