Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTH METRO COMMUNITY SERVICES, INC

NPI: 1316499106 · WESTMINSTER, CO 80234 · Developmentally Disabled Services Day Training Agency · NPI assigned 10/27/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

91% of spending on code T2021 with only 2 total codes billed. Highly concentrated billing profile.

$6.52M
Total Medicaid Paid
9,366
Total Claims
6,522
Beneficiaries
2
Codes Billed
2021-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMONTOYA, GEORGE (ASST EXEC DIR/CFO)
NPI Enumeration Date10/27/2016

Related Entities

Other providers sharing the same authorized official: MONTOYA, GEORGE

ProviderCityStateTotal Paid
NORTH METRO COMMUNITY SERVICES, INC. WESTMINSTER CO $107.75M
NORTH METRO COMMUNITY SERVICES, INC WESTMINSTER CO $3.43M
NORTH METRO COMMUNITY SERVICES, INC BRIGHTON CO $2.49M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 3,043 $1.27M
2022 2,494 $1.77M
2023 2,074 $1.72M
2024 1,755 $1.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 7,921 5,433 $5.94M
T2019 Habilitation, supported employment, waiver; per 15 minutes 1,445 1,089 $581K