Lee, Michelle

Lee, Michelle was paid $14.36M by Medicaid between Jan 2018 and Dec 2022, across 3 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 98% of everything it billed.

33Billing provider infoLEE, MICHELLE
DENVER, CO 80249

33aNPI1730628710assigned 02/23/2017

33bProvider typeHome Health Agency

28Total paid$14.36M

24GClaims52,624

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other Home Health Agency providers in Colorado

Rank by total paid#34 of 252

Median peer was paid$2.29M

This provider vs. median6.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration98% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.

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	3,231	$2.36M
2019	2,775	$2.69M
2020	7,626	$3.03M
2021	20,039	$3.27M
2022	18,953	$3.01M

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	98%	49,661	2,928	$14.08M
T2021	Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes	1.9%	2,539	370	$279K
T2003	Non-emergency transportation, per tripNon-emergency transportation; encounter/trip	<1%	424	27	$7K

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.