Agency
Total Longterm Care, INC
Total Longterm Care, INC was paid $2.54M by Medicaid between May 2022 and Nov 2024, across 40 billing codes. Its largest line is T2030, Assisted living, waiver; per month — 66% of everything it billed.
33Billing provider infoTOTAL LONGTERM CARE, INC
PUEBLO, CO 81004
PUEBLO, CO 81004
33aNPI1396332946assigned 12/30/2020
33bProvider typePACE Provider Organization
28Total paid$2.54M
24GClaims21,032
24DCodes billed40
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers
Next to other PACE Provider Organization providers in Colorado
Rank by total paid#5 of 9
Median peer was paid$2.54M
This provider vs. median1.0×
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.
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 | |
|---|---|---|---|
| 2022 | 4,701 | $1.12M | |
| 2023 | 9,194 | $1.42M | |
| 2024incomplete | 7,137 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 66% | 1,243 | 1,054 | $1.68M |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 13% | 2,852 | 2,252 | $318K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 4.4% | 2,143 | 1,800 | $111K |
| E1392 | Portable oxygen concentrator, rental | 3.7% | 1,353 | 1,031 | $93K |
| A0429 | Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) | 2.8% | 373 | 261 | $72K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2.8% | 317 | 247 | $72K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 2.7% | 4,862 | 3,840 | $69K |
| E0601 | Continuous positive airway pressure (cpap) device | 1.3% | 635 | 522 | $33K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 212 | 40 | $17K |
| A0425 | Ground mileage, per statute mile | <1% | 879 | 589 | $15K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 734 | 625 | $8K |
| 80053 | Comprehensive metabolic panel | <1% | 998 | 915 | $7K |
28 more codes
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 62 | $6K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 301 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 444 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 829 | $5K |
| 80061 | Lipid panel | <1% | 465 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,038 | $5K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 166 | $4K |
| 82607 | <1% | 219 | $2K | |
| 11721 | <1% | 39 | $2K | |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 83 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 14 | $978.60 |
| E0570 | Nebulizer, with compressor | <1% | 86 | $952.84 |
| 84439 | <1% | 80 | $788.42 | |
| 82652 | <1% | 14 | $660.10 | |
| 82570 | <1% | 93 | $513.54 | |
| 83735 | <1% | 87 | $336.20 | |
| 82746 | <1% | 25 | $234.13 | |
| 82043 | <1% | 29 | $205.32 | |
| 81001 | <1% | 37 | $50.44 | |
| A7035 | Headgear used with positive airway pressure device | 0% | 14 | $0.00 |
| A7038 | Filter, disposable, used with positive airway pressure device | 0% | 20 | $0.00 |
| 87186 | 0% | 29 | $0.00 | |
| 90687 | 0% | 13 | $0.00 | |
| 87088 | 0% | 57 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 23 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 16 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 132 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $0.00 |
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 officialWASHINGTON, GAYLE (CREDENTIALING COORDINATOR)
Parent organizationTOTAL LONG TERM CARE
| Provider | Location | Paid |
|---|---|---|
| Total Longterm Care, INC. | Aurora, CO | $22.47M |
| Total Longterm Care, INC | Lakewood, CO | $20.92M |
| Total Longterm Care, INC. | Thornton, CO | $12.51M |
| Total Longterm Care, INC. | Loveland, CO | $6.78M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.