Agency
Total Longterm Care, INC.
Total Longterm Care, INC. was paid $12.51M by Medicaid between Apr 2019 and Nov 2024, across 91 billing codes. Its largest line is T2030, Assisted living, waiver; per month — 66% of everything it billed.
33Billing provider infoTOTAL LONGTERM CARE, INC.
THORNTON, CO 80241
THORNTON, CO 80241
33aNPI1598361891assigned 12/10/2020
33bProvider typePACE Provider Organization
28Total paid$12.51M
24GClaims72,492
24DCodes billed91
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other PACE Provider Organization providers in Colorado
Rank by total paid#3 of 9
Median peer was paid$2.54M
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2019 | 216 | $5K | |
| 2020 | 30 | $1K | |
| 2021 | 12,792 | $2.46M | |
| 2022 | 12,376 | $3.96M | |
| 2023 | 26,276 | $6.06M | |
| 2024incomplete | 20,802 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 66% | 6,006 | 5,173 | $8.20M |
| T2031 | Assisted living; waiver, per diem | 12% | 1,151 | 968 | $1.49M |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 5.7% | 8,469 | 6,466 | $719K |
| E1392 | Portable oxygen concentrator, rental | 5.0% | 5,481 | 4,417 | $625K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 1.5% | 2,807 | 2,527 | $189K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.3% | 1,129 | 366 | $158K |
| E0601 | Continuous positive airway pressure (cpap) device | 1.1% | 2,645 | 2,188 | $140K |
| 11719 | <1% | 5,323 | 2,542 | $118K | |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 8,102 | 6,025 | $97K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 825 | 351 | $76K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | <1% | 234 | 205 | $68K |
| E0434 | Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing | <1% | 2,044 | 1,608 | $53K |
79 more codes
| U0003 | 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, making use of high throughput technologies as described by cms-2020-01-r | <1% | 638 | $49K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 830 | $46K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,849 | $44K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | <1% | 36 | $37K |
| T1017 | Case management, billed per 15 minutes | <1% | 1,088 | $32K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,131 | $26K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 786 | $20K |
| 80053 | Comprehensive metabolic panel | <1% | 2,550 | $20K |
| V5257 | Hearing aid, digital, monaural, bte | <1% | 12 | $19K |
| A0425 | Ground mileage, per statute mile | <1% | 782 | $17K |
| E0439 | Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing | <1% | 138 | $16K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,169 | $16K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,011 | $16K |
| 80061 | Lipid panel | <1% | 1,497 | $15K |
| E0442 | Stationary oxygen contents, liquid, 1 month's supply = 1 unit | <1% | 824 | $12K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | <1% | 57 | $10K |
| 82607 | <1% | 1,011 | $10K | |
| 82652 | <1% | 484 | $10K | |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | <1% | 148 | $9K |
| 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% | 354 | $9K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 477 | $8K |
| E0444 | Portable oxygen contents, liquid, 1 month's supply = 1 unit | <1% | 162 | $8K |
| E0265 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress | <1% | 451 | $8K |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | <1% | 34 | $7K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 369 | $7K |
| V5160 | Dispensing fee, binaural | <1% | 13 | $6K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 70 | $6K |
| V2744 | Tint, photochromatic, per lens | <1% | 63 | $6K |
| V2020 | Frames, purchases | <1% | 91 | $6K |
| V2781 | Progressive lens, per lens | <1% | 37 | $6K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 765 | $5K |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | <1% | 99 | $5K |
| 86480 | <1% | 108 | $5K | |
| 84439 | <1% | 514 | $5K | |
| E0570 | Nebulizer, with compressor | <1% | 353 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 184 | $4K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 571 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 34 | $4K |
| E0184 | Dry pressure mattress | <1% | 227 | $3K |
| 99310 | Prolong nursin fac eval 15m | <1% | 25 | $3K |
| 99318 | <1% | 33 | $3K | |
| H0032 | Mental health service plan development by non-physician | <1% | 61 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 22 | $3K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 17 | $2K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 255 | $2K |
| 92015 | Determination of refractive state | <1% | 30 | $2K |
| 87186 | <1% | 217 | $2K | |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | <1% | 297 | $2K |
| 99304 | <1% | 21 | $2K | |
| 87088 | <1% | 244 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12 | $2K |
| V5299 | Hearing service, miscellaneous | <1% | 61 | $2K |
| 92591 | <1% | 13 | $1K | |
| 81001 | <1% | 512 | $1K | |
| 11720 | <1% | 19 | $1K | |
| K0001 | Standard wheelchair | <1% | 103 | $1K |
| 82570 | <1% | 185 | $893.94 | |
| A4615 | Cannula, nasal | <1% | 90 | $747.00 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 93 | $628.32 |
| V5011 | Fitting/orientation/checking of hearing aid | <1% | 13 | $585.00 |
| 82746 | <1% | 80 | $558.31 | |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | <1% | 126 | $520.42 |
| 92700 | <1% | 21 | $495.00 | |
| 82043 | <1% | 68 | $481.44 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 23 | $437.00 |
| A7037 | Tubing used with positive airway pressure device | <1% | 12 | $304.68 |
| 83550 | <1% | 63 | $278.46 | |
| 87077 | <1% | 43 | $269.08 | |
| 83540 | <1% | 87 | $206.18 | |
| 86803 | <1% | 46 | $157.32 | |
| E1353 | Regulator | <1% | 25 | $142.56 |
| 36415 | Collection of venous blood by venipuncture | <1% | 19 | $62.51 |
| A0999 | Unlisted ambulance service | 0% | 26 | $0.00 |
| S5102 | Adult day care, billed per day | 0% | 66 | $0.00 |
| 83880 | 0% | 12 | $0.00 | |
| G0409 | Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf) | 0% | 33 | $0.00 |
| A4616 | Tubing (oxygen), per foot | 0% | 26 | $0.00 |
| 98960 | 0% | 147 | $0.00 | |
| 84156 | 0% | 13 | $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 LONGTERM CARE, INC.
| Provider | Location | Paid |
|---|---|---|
| Total Longterm Care, INC. | Aurora, CO | $22.47M |
| Total Longterm Care, INC | Lakewood, CO | $20.92M |
| Total Longterm Care, INC. | Loveland, CO | $6.78M |
| Total Longterm Care, INC | Pueblo, CO | $2.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.