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TOHATCHI AREA OF OPPORTUNITY & SERVICES
TOHATCHI AREA OF OPPORTUNITY & SERVICES
NPI: 1306318423
· GALLUP, NM 87301
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 12/31/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.
$10.33M
Total Medicaid Paid
Provider Details
| Authorized Official | CROWE, KIMBER (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 12/31/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
6,689 |
$881K |
| 2020 |
8,454 |
$1.72M |
| 2021 |
9,028 |
$2.01M |
| 2022 |
8,097 |
$2.10M |
| 2023 |
8,113 |
$2.11M |
| 2024 |
5,214 |
$1.50M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
35,920 |
1,380 |
$9.60M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
5,484 |
798 |
$494K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
4,191 |
737 |
$230K |