Managed care
Total Longterm Care, INC.
Total Longterm Care, INC. was paid $13.01M by Medicaid between Jan 2019 and Nov 2024, across 148 billing codes. Its largest line is T2030, Assisted living, waiver; per month — 63% of everything it billed.
33Billing provider infoTOTAL LONGTERM CARE, INC.
DENVER, CO 80230
DENVER, CO 80230
33aNPI1689754046assigned 10/17/2006
33bProvider typeExclusive Provider Organization
28Total paid$13.01M
24GClaims2,298,044
24DCodes billed148
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Colorado
Rank by total paid#1 of 5
Median peer was paid$6.34M
This provider vs. median2.1×
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 | 802,595 | $247K | |
| 2020 | 1,334,613 | $1.34M | |
| 2021 | 127,724 | $6.14M | |
| 2022 | 7,665 | $1.99M | |
| 2023 | 14,943 | $3.30M | |
| 2024incomplete | 10,504 | $256.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 63% | 5,165 | 4,645 | $8.17M |
| T2031 | Assisted living; waiver, per diem | 17% | 978 | 931 | $2.16M |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 4.0% | 5,312 | 4,217 | $514K |
| E1392 | Portable oxygen concentrator, rental | 3.1% | 3,145 | 2,589 | $398K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 2.3% | 2,871 | 2,680 | $296K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1.7% | 658 | 579 | $221K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 1.1% | 7,942 | 6,557 | $139K |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | <1% | 74 | 67 | $109K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 1,740 | 1,512 | $103K |
| 11719 | <1% | 4,018 | 1,934 | $96K | |
| 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% | 36,687 | 11,716 | $85K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | <1% | 47 | 47 | $48K |
136 more codes
| E0439 | Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing | <1% | 369 | $42K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | <1% | 153 | $36K |
| A0425 | Ground mileage, per statute mile | <1% | 1,551 | $33K |
| A0429 | Emergency ambulance ride, basic life support | <1% | 111 | $31K |
| 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% | 500 | $30K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,608 | $27K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 942 | $27K |
| E0277 | Powered pressure-reducing air mattress | <1% | 298 | $26K |
| E0434 | Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing | <1% | 1,091 | $24K |
| 80053 | Comprehensive metabolic panel | <1% | 2,171 | $21K |
| 99070 | <1% | 388 | $20K | |
| D9410 | <1% | 216 | $19K | |
| E0444 | Portable oxygen contents, liquid, 1 month's supply = 1 unit | <1% | 386 | $18K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,659 | $17K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 535 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 46 | $17K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 915 | $16K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,690 | $15K |
| 11721 | <1% | 366 | $14K | |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 710 | $13K |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | <1% | 291 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 913 | $12K |
| V5160 | Dispensing fee, binaural | <1% | 24 | $12K |
| 90837 | Psychotherapy session, about an hour | <1% | 7,851 | $12K |
| 80061 | Lipid panel | <1% | 897 | $11K |
| E0265 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress | <1% | 189 | $10K |
| E0570 | Nebulizer, with compressor | <1% | 787 | $9K |
| 82607 | <1% | 521 | $8K | |
| 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% | 144 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 88 | $7K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 762 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 42 | $5K |
| 11720 | <1% | 79 | $5K | |
| 99334 | <1% | 76 | $5K | |
| 90999 | Dialysis (unlisted procedure) | <1% | 278 | $4K |
| 84439 | <1% | 622 | $4K | |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 84 | $4K |
| 98960 | <1% | 24 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 26 | $3K |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 34 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 36,442 | $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% | 34 | $3K |
| V2020 | Frames, purchases | <1% | 44 | $3K |
| 83970 | <1% | 57 | $3K | |
| 92591 | <1% | 26 | $3K | |
| E0442 | Stationary oxygen contents, liquid, 1 month's supply = 1 unit | <1% | 91 | $2K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 30 | $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% | 367 | $2K |
| 82746 | <1% | 97 | $2K | |
| V5299 | Hearing service, miscellaneous | <1% | 64 | $2K |
| 82728 | <1% | 100 | $2K | |
| D0180 | <1% | 43 | $1K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 15 | $1K |
| Q0092 | Set-up portable x-ray equipment | <1% | 55 | $1K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 150 | $1K |
| 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% | 214 | $1K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 27 | $1K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 192 | $1K |
| 83550 | <1% | 130 | $1K | |
| V5011 | Fitting/orientation/checking of hearing aid | <1% | 26 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 528 | $1K |
| 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% | 106 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 19,888 | $1K |
| 92015 | Determination of refractive state | <1% | 49 | $981.65 |
| 83540 | <1% | 137 | $945.63 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 23 | $922.78 |
| E1353 | Regulator | <1% | 167 | $891.00 |
| S9999 | Sales tax | <1% | 283 | $887.40 |
| A7037 | Tubing used with positive airway pressure device | <1% | 33 | $837.87 |
| 87186 | <1% | 71 | $800.47 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 89 | $794.77 |
| 87088 | <1% | 73 | $709.68 | |
| 81001 | <1% | 212 | $676.26 | |
| D1110 | Prophylaxis - adult | <1% | 47 | $659.90 |
| 82570 | <1% | 102 | $621.32 | |
| A4615 | Cannula, nasal | <1% | 71 | $616.00 |
| 82652 | <1% | 13 | $612.95 | |
| K0001 | Standard wheelchair | <1% | 113 | $600.00 |
| 84153 | <1% | 26 | $585.78 | |
| A0130 | Non-emergency transportation: wheelchair van | <1% | 1,056,344 | $514.54 |
| D0120 | Dental checkup, returning patient | <1% | 2,006 | $490.00 |
| 82043 | <1% | 66 | $460.20 | |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 12 | $424.08 |
| 92700 | <1% | 16 | $400.00 | |
| 84100 | <1% | 63 | $325.86 | |
| A7035 | Headgear used with positive airway pressure device | <1% | 14 | $321.44 |
| E1354 | Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each | <1% | 54 | $278.25 |
| 83735 | <1% | 33 | $269.34 | |
| 85027 | <1% | 44 | $268.40 | |
| 82310 | <1% | 46 | $233.91 | |
| 86141 | <1% | 13 | $206.18 | |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 13 | $157.69 |
| 87077 | <1% | 13 | $103.32 | |
| 99442 | <1% | 13,038 | $96.84 | |
| 85610 | <1% | 17 | $76.77 | |
| 85652 | <1% | 12 | $39.72 | |
| 97163 | 0% | 77,147 | $0.00 | |
| 97167 | 0% | 65,681 | $0.00 | |
| 86480 | 0% | 12 | $0.00 | |
| S0221 | Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes | 0% | 2,342 | $0.00 |
| G0422 | Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session | 0% | 16,963 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 23,826 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 2,349 | $0.00 |
| T1001 | Nursing assessment / evaluation | 0% | 37,578 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 0% | 4,135 | $0.00 |
| H2032 | Activity therapy, per 15 minutes | 0% | 20,298 | $0.00 |
| S5130 | Homemaker services, billed per 15 minutes | 0% | 65,759 | $0.00 |
| 97161 | 0% | 22,918 | $0.00 | |
| 99001 | 0% | 98 | $0.00 | |
| H0046 | Mental health services, not otherwise specified | 0% | 34,515 | $0.00 |
| G0079 | Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) | 0% | 12,080 | $0.00 |
| D4910 | 0% | 398 | $0.00 | |
| H0031 | Mental health assessment, by non-physician | 0% | 564 | $0.00 |
| D2140 | 0% | 418 | $0.00 | |
| D5110 | 0% | 372 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 305 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 24 | $0.00 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 52,616 | $0.00 |
| S5101 | Day care services, adult; per half day | 0% | 112,925 | $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% | 98,372 | $0.00 |
| H0033 | Oral medication administration, direct observation | 0% | 7,015 | $0.00 |
| 97165 | 0% | 13,302 | $0.00 | |
| G9473 | Services performed by chaplain in the hospice setting, each 15 minutes | 0% | 767 | $0.00 |
| S5102 | Adult day care, billed per day | 0% | 192,766 | $0.00 |
| 98967 | 0% | 66,699 | $0.00 | |
| D5410 | 0% | 502 | $0.00 | |
| S0220 | Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes | 0% | 24,663 | $0.00 |
| 99305 | 0% | 10,893 | $0.00 | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 0% | 16,334 | $0.00 |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | 0% | 60,084 | $0.00 |
| 97166 | 0% | 6,425 | $0.00 | |
| 97162 | 0% | 14,486 | $0.00 | |
| D7111 | 0% | 89 | $0.00 | |
| D5130 | 0% | 678 | $0.00 | |
| V5008 | Hearing screening | 0% | 521 | $0.00 |
| E0303 | Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress | 0% | 12 | $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 officialHEWITT, MAUREEN (PRESIDENT/CEO)
Parent organizationTOTAL COMMUNITY OPTIONS