Agency
North Metro Community Services, INC.
North Metro Community Services, INC. was paid $107.75M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 70% of everything it billed.
33Billing provider infoNORTH METRO COMMUNITY SERVICES, INC.
WESTMINSTER, CO 80234
WESTMINSTER, CO 80234
33aNPI1720125115assigned 02/01/2007
33bProvider typeCase Management Agency
28Total paid$107.75M
24GClaims155,866
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Colorado
Rank by total paid#2 of 71
Median peer was paid$1.01M
This provider vs. median107×
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 | |
|---|---|---|---|
| 2018 | 44,257 | $20.02M | |
| 2019 | 40,115 | $18.64M | |
| 2020 | 25,147 | $15.93M | |
| 2021 | 16,321 | $13.62M | |
| 2022 | 11,253 | $12.69M | |
| 2023 | 10,167 | $13.33M | |
| 2024incomplete | 8,606 | $13.53M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 70% | 20,608 | 17,461 | $75.18M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 11% | 26,921 | 13,192 | $12.35M |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 4.3% | 7,195 | 4,858 | $4.61M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 3.5% | 26,395 | 21,849 | $3.79M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 2.8% | 18,826 | 14,197 | $2.98M |
| T2019 | Habilitation, supported employment, waiver; per 15 minutes | 1.8% | 4,398 | 2,946 | $1.92M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) | 1.7% | 4,740 | 3,710 | $1.85M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 1.5% | 6,477 | 4,671 | $1.67M |
| T2004 | Non-emergency transport; commercial carrier, multi-pass | <1% | 11,514 | 6,666 | $800K |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 1,683 | 1,297 | $614K |
| T2028 | Specialized supply, not otherwise specified, waiver | <1% | 13,027 | 9,359 | $451K |
| V2799 | Vision item or service, miscellaneous | <1% | 1,449 | 1,001 | $395K |
9 more codes
| 97124 | <1% | 912 | $254K | |
| T1016 | Case management, each 15 minutes | <1% | 5,343 | $186K |
| G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | <1% | 781 | $185K |
| S5151 | Unskilled respite care, not hospice; per diem | <1% | 637 | $168K |
| T2035 | Utility services to support medical equipment and assistive technology/devices, waiver | <1% | 1,101 | $162K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 1,130 | $127K |
| T2015 | Habilitation, prevocational, waiver; per hour | <1% | 148 | $58K |
| T2029 | Specialized medical equipment, not otherwise specified, waiver | <1% | 53 | $5K |
| T2034 | Crisis intervention, waiver; per diem | 0% | 2,528 | $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 officialMONTOYA, GEORGE (ASST EXEC DIRECTOR/CFO)
| Provider | Location | Paid |
|---|---|---|
| North Metro Community Services, INC | Westminster, CO | $6.52M |
| North Metro Community Services, INC | Westminster, CO | $3.43M |
| North Metro Community Services, INC | Brighton, CO | $2.49M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.