Premium Direct Care Providers INC.

Premium Direct Care Providers INC. was paid $1.09M by Medicaid between Jan 2018 and Feb 2019, across 2 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 96% of everything it billed.

33Billing provider infoPREMIUM DIRECT CARE PROVIDERS INC.
PUEBLO, CO 81001

33aNPI1346615085assigned 12/07/2015

33bProvider typeDevelopmental Disabilities Clinic/Center

28Total paid$1.09M

24GClaims665

24DCodes billed2

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Developmental Disabilities Clinic/Center providers in Colorado

Rank by total paid#6 of 8

Median peer was paid$1.32M

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 Concentration96% of spending on code T2016 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	571	$945K
2019	94	$143K

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	96%	450	218	$1.05M
T2003	Non-emergency transportation, per tripNon-emergency transportation; encounter/trip	3.7%	215	209	$40K

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 officialMADRID, JOANN (PRESIDENT)