PREMIUM DIRECT CARE PROVIDERS INC.
NPI: 1346615085
· PUEBLO, CO 81001
· Developmental Disabilities Clinic/Center
· NPI assigned 12/07/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code T2016 with only 2 total codes billed. Highly concentrated billing profile.
$1.09M
Total Medicaid Paid
Provider Details
| Authorized Official | MADRID, JOANN (PRESIDENT) |
| NPI Enumeration Date | 12/07/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
571 |
$945K |
| 2019 |
94 |
$143K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
450 |
218 |
$1.05M |
| T2003 |
Non-emergency transportation; encounter/trip |
215 |
209 |
$40K |