LEE, MICHELLE
NPI: 1730628710
· DENVER, CO 80249
· Home Health Agency
· NPI assigned 02/23/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.
$14.36M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,231 |
$2.36M |
| 2019 |
2,775 |
$2.69M |
| 2020 |
7,626 |
$3.03M |
| 2021 |
20,039 |
$3.27M |
| 2022 |
18,953 |
$3.01M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
49,661 |
2,928 |
$14.08M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,539 |
370 |
$279K |
| T2003 |
Non-emergency transportation; encounter/trip |
424 |
27 |
$7K |