Residential
Tohatchi Area of Opportunity & Services
Tohatchi Area of Opportunity & Services was paid $10.33M by Medicaid between Apr 2019 and Dec 2024, across 3 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 93% of everything it billed.
33Billing provider infoTOHATCHI AREA OF OPPORTUNITY & SERVICES
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1306318423assigned 12/31/2018
33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
28Total paid$10.33M
24GClaims45,595
24DCodes billed3
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in New Mexico
Rank by total paid#11 of 16
Median peer was paid$20.21M
This provider vs. median0.5×
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 Concentration93% of spending on code T2016 with only 3 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 | |
|---|---|---|---|
| 2019 | 6,689 | $881K | |
| 2020 | 8,454 | $1.72M | |
| 2021 | 9,028 | $2.01M | |
| 2022 | 8,097 | $2.10M | |
| 2023 | 8,113 | $2.11M | |
| 2024incomplete | 5,214 | $1.50M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 93% | 35,920 | 1,380 | $9.60M |
| H2021 | Community-based wrap-around services, per 15 minutes | 4.8% | 5,484 | 798 | $494K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 2.2% | 4,191 | 737 | $230K |
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 officialCROWE, KIMBER (CHIEF EXECUTIVE OFFICER)