NPI: 1629604293 · LAKEWOOD, CO 80214 · Driver · NPI assigned 03/16/2020
| Authorized Official | DE LA TORRE, LISA (ADMINISTRATOR) |
| NPI Enumeration Date | 03/16/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,557 | $189K |
| 2024 | 5,032 | $624K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 6,448 | 198 | $807K |
| 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) | 105 | 38 | $4K |
| H2021 | Community-based wrap-around services, per 15 minutes | 36 | 13 | $2K |