A Rise Above Home Care
A Rise Above Home Care was paid $3.68M by Medicaid between Sep 2020 and Jun 2024, across 1 billing code. Its largest line is T1016, Case management, each 15 minutes — 100% of everything it billed.
33Billing provider infoA RISE ABOVE HOME CARE
COLO SPGS, CO 80919
COLO SPGS, CO 80919
33aNPI1487268041assigned 09/01/2020
33bProvider typeCase Manager/Care Coordinator
28Total paid$3.68M
24GClaims82,177
24DCodes billed1
24AFirst – last monthSep 2020 – Jun 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in Colorado
Rank by total paid#2 of 14
Median peer was paid$135K
This provider vs. median27×
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 Concentration100% of spending on code T1016 with only 1 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 | |
|---|---|---|---|
| 2020 | 5,654 | $435K | |
| 2021 | 18,785 | $1.14M | |
| 2022 | 20,763 | $699K | |
| 2023 | 24,099 | $887K | |
| 2024incomplete | 12,876 | $524K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 100% | 82,177 | 41,957 | $3.68M |
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 officialCHAPMAN, DONNA (DIRECTOR OF CASE MANAGEMENT)