Agency
Total Longterm Care, INC
Total Longterm Care, INC was paid $20.92M by Medicaid between Apr 2019 and Nov 2024, across 85 billing codes. Its largest line is T2030, Assisted living, waiver; per month — 65% of everything it billed.
33Billing provider infoTOTAL LONGTERM CARE, INC
LAKEWOOD, CO 80226
LAKEWOOD, CO 80226
33aNPI1639770183assigned 11/02/2020
33bProvider typePACE Provider Organization
28Total paid$20.92M
24GClaims86,287
24DCodes billed85
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other PACE Provider Organization providers in Colorado
Rank by total paid#2 of 9
Median peer was paid$2.54M
This provider vs. median8.2×
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 | 206 | $8K | |
| 2020 | 92 | $11K | |
| 2021 | 14,535 | $4.53M | |
| 2022 | 13,984 | $5.17M | |
| 2023 | 32,666 | $11.19M | |
| 2024incomplete | 24,804 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 65% | 9,615 | 8,622 | $13.64M |
| T2031 | Assisted living; waiver, per diem | 19% | 2,505 | 2,289 | $4.01M |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 4.7% | 10,803 | 8,355 | $973K |
| E1392 | Portable oxygen concentrator, rental | 3.2% | 5,674 | 4,438 | $678K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | <1% | 662 | 604 | $178K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 10,638 | 8,603 | $167K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 1,986 | 1,706 | $163K |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | <1% | 137 | 113 | $161K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 2,617 | 2,112 | $136K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 3,745 | 1,585 | $134K |
| 11719 | <1% | 5,134 | 2,939 | $103K | |
| E0277 | Powered pressure-reducing air mattress | <1% | 1,165 | 862 | $80K |
73 more codes
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | <1% | 288 | $39K |
| A0425 | Ground mileage, per statute mile | <1% | 1,904 | $37K |
| E0265 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress | <1% | 1,040 | $32K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,747 | $25K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 920 | $24K |
| 80053 | Comprehensive metabolic panel | <1% | 2,502 | $21K |
| E0439 | Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing | <1% | 163 | $18K |
| D9410 | <1% | 186 | $18K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,014 | $18K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,036 | $16K |
| 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% | 232 | $15K |
| 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% | 187 | $14K |
| 11721 | <1% | 310 | $12K | |
| E0434 | Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing | <1% | 928 | $12K |
| 98960 | <1% | 290 | $12K | |
| 80061 | Lipid panel | <1% | 900 | $10K |
| 82607 | <1% | 787 | $10K | |
| K0001 | Standard wheelchair | <1% | 1,800 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 110 | $8K |
| A4615 | Cannula, nasal | <1% | 1,539 | $8K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 520 | $8K |
| 86480 | <1% | 103 | $8K | |
| V2744 | Tint, photochromatic, per lens | <1% | 76 | $8K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 79 | $7K |
| K0045 | Footrest, complete assembly, replacement only, each | <1% | 824 | $7K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,035 | $7K |
| E0444 | Portable oxygen contents, liquid, 1 month's supply = 1 unit | <1% | 156 | $7K |
| V2020 | Frames, purchases | <1% | 99 | $6K |
| V5160 | Dispensing fee, binaural | <1% | 26 | $6K |
| V2781 | Progressive lens, per lens | <1% | 36 | $5K |
| V5299 | Hearing service, miscellaneous | <1% | 318 | $5K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 234 | $4K |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | <1% | 89 | $4K |
| 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% | 158 | $4K |
| E0570 | Nebulizer, with compressor | <1% | 325 | $4K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 597 | $4K |
| 92015 | Determination of refractive state | <1% | 52 | $3K |
| 92591 | <1% | 42 | $3K | |
| S5162 | Emergency response system; purchase only | <1% | 21 | $3K |
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | <1% | 316 | $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% | 428 | $2K |
| 92700 | <1% | 228 | $2K | |
| 87186 | <1% | 365 | $2K | |
| E1353 | Regulator | <1% | 835 | $2K |
| 87088 | <1% | 381 | $2K | |
| 82746 | <1% | 109 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 47 | $2K |
| E1038 | Transport chair, adult size, patient weight capacity up to and including 300 pounds | <1% | 613 | $1K |
| V5011 | Fitting/orientation/checking of hearing aid | <1% | 42 | $1K |
| E1354 | Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each | <1% | 606 | $1K |
| 81001 | <1% | 360 | $950.60 | |
| 84439 | <1% | 285 | $880.20 | |
| 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% | 158 | $875.87 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 21 | $788.34 |
| 11720 | <1% | 12 | $720.00 | |
| 82570 | <1% | 156 | $634.00 | |
| 92250 | <1% | 12 | $489.72 | |
| Q0092 | Set-up portable x-ray equipment | <1% | 347 | $488.17 |
| D0460 | <1% | 13 | $342.03 | |
| 83540 | <1% | 40 | $325.13 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 74 | $240.36 |
| 83735 | <1% | 122 | $237.80 | |
| 82043 | <1% | 39 | $191.16 | |
| 83550 | <1% | 13 | $139.23 | |
| 87077 | <1% | 45 | $112.84 | |
| A4616 | Tubing (oxygen), per foot | <1% | 16 | $80.00 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 40 | $0.00 |
| 85027 | 0% | 26 | $0.00 | |
| 86803 | 0% | 12 | $0.00 | |
| A0130 | Non-emergency transportation: wheelchair van | 0% | 38 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 0% | 57 | $0.00 |
| V5267 | Hearing aid or assistive listening device/supplies/accessories, not otherwise specified | 0% | 26 | $0.00 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 0% | 51 | $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 DIRECTOR)
Parent organizationTOTAL LONGTERM CARE, INC.
| Provider | Location | Paid |
|---|---|---|
| Total Longterm Care, INC. | Aurora, CO | $22.47M |
| Total Longterm Care, INC. | Thornton, CO | $12.51M |
| 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.