Candelaria, Corey

Candelaria, Corey was paid $24K by Medicaid between Jul 2018 and Apr 2019, across 2 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 97% of everything it billed.

33Billing provider infoCANDELARIA, COREY
LOUISVILLE, CO 80027

33aNPI1497938864assigned 12/08/2007

33bProvider typeProfessional Counselor

28Total paid$24K

24GClaims337

24DCodes billed2

24AFirst – last monthJul 2018 – Apr 2019

Compared with peers

Next to other Professional Counselor providers in Colorado

Rank by total paid#239 of 395

Median peer was paid$51K

This provider vs. median0.5×

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.

OIG exclusionListed on the federal exclusion list (11/20/2023).

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	153	$11K
2019	184	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	97%	296	226	$23K
H0006	Alcohol and/or drug services; case management	2.7%	41	34	$649.80

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.