Medicaid Provider Spending

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

COMPREHENSIVE COMMUNITY BASED SERVICES

NPI: 1386098812 · DENVER, CO 80231 · Developmentally Disabled Services Day Training Agency · NPI assigned 04/21/2016

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

95% of spending on code T2019 with only 3 total codes billed. Highly concentrated billing profile.

$1.18M
Total Medicaid Paid
2,070
Total Claims
1,549
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDECILLA, NICHOLAS (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/21/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 387 $115K
2019 410 $130K
2020 256 $98K
2021 187 $104K
2022 220 $205K
2023 417 $250K
2024 193 $280K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2019 Habilitation, supported employment, waiver; per 15 minutes 1,548 1,175 $1.13M
H2021 Community-based wrap-around services, per 15 minutes 427 299 $43K
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 95 75 $12K