Agency
Total Longterm Care, INC.
Total Longterm Care, INC. was paid $22.47M by Medicaid between Apr 2019 and Nov 2024, across 162 billing codes. Its largest line is T2030, Assisted living, waiver; per month — 76% of everything it billed.
33Billing provider infoTOTAL LONGTERM CARE, INC.
AURORA, CO 80011
AURORA, CO 80011
33aNPI1750987053assigned 12/10/2020
33bProvider typePACE Provider Organization
28Total paid$22.47M
24GClaims97,913
24DCodes billed162
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other PACE Provider Organization providers in Colorado
Rank by total paid#1 of 9
Median peer was paid$2.54M
This provider vs. median8.9×
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 | 485 | $58K | |
| 2020 | 25,825 | $4K | |
| 2021 | 11,687 | $2.70M | |
| 2022 | 34,248 | $12.36M | |
| 2023 | 15,043 | $4.40M | |
| 2024incomplete | 10,625 | $2.94M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 76% | 7,257 | 5,507 | $17.13M |
| T2031 | Assisted living; waiver, per diem | 5.8% | 453 | 355 | $1.31M |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 3.9% | 6,136 | 4,906 | $869K |
| E1392 | Portable oxygen concentrator, rental | 2.2% | 2,537 | 2,154 | $490K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 1.5% | 3,291 | 2,946 | $336K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1.3% | 611 | 542 | $295K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 6,661 | 4,923 | $176K |
| 11719 | <1% | 5,118 | 2,484 | $170K | |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 2,003 | 1,705 | $169K |
| 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% | 2,153 | 540 | $166K |
| A0429 | Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) | <1% | 262 | 238 | $108K |
| E0277 | Powered pressure-reducing air mattress | <1% | 844 | 627 | $93K |
150 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,907 | $85K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | <1% | 297 | $74K |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | <1% | 50 | $72K |
| A0425 | Ground mileage, per statute mile | <1% | 1,918 | $68K |
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | <1% | 261 | $58K |
| 90837 | Psychotherapy session, about an hour | <1% | 527 | $57K |
| 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% | 1,963 | $51K |
| E0434 | Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing | <1% | 1,095 | $44K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,174 | $42K |
| D9410 | <1% | 398 | $42K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,517 | $32K |
| 80053 | Comprehensive metabolic panel | <1% | 2,205 | $28K |
| E0439 | Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing | <1% | 226 | $26K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,930 | $23K |
| 98960 | <1% | 146 | $21K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,439 | $20K |
| 80061 | Lipid panel | <1% | 1,240 | $20K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 224 | $20K |
| E0443 | Portable oxygen contents, gaseous, 1 month's supply = 1 unit | <1% | 322 | $19K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 909 | $17K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 215 | $15K |
| 11721 | <1% | 308 | $15K | |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | <1% | 14 | $14K |
| A4615 | Cannula, nasal | <1% | 2,617 | $14K |
| T1017 | Case management, billed per 15 minutes | <1% | 460 | $12K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 596 | $11K |
| E0444 | Portable oxygen contents, liquid, 1 month's supply = 1 unit | <1% | 223 | $11K |
| A0433 | Advanced life support, level 2 (als 2) | <1% | 16 | $11K |
| E0265 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress | <1% | 262 | $10K |
| E0442 | Stationary oxygen contents, liquid, 1 month's supply = 1 unit | <1% | 420 | $10K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 84 | $9K |
| 82607 | <1% | 471 | $9K | |
| Q0092 | Set-up portable x-ray equipment | <1% | 291 | $8K |
| E0570 | Nebulizer, with compressor | <1% | 715 | $8K |
| E0184 | Dry pressure mattress | <1% | 231 | $8K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 734 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 492 | $7K |
| 92015 | Determination of refractive state | <1% | 150 | $7K |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | <1% | 256 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 49 | $6K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | <1% | 41 | $6K |
| S5162 | Emergency response system; purchase only | <1% | 36 | $6K |
| 83970 | <1% | 132 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 140 | $5K |
| 93922 | <1% | 18 | $5K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 13 | $5K |
| 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% | 251 | $5K |
| 82652 | <1% | 95 | $4K | |
| V5299 | Hearing service, miscellaneous | <1% | 161 | $4K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 87 | $4K |
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | <1% | 12 | $4K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 31 | $4K |
| D0350 | <1% | 102 | $4K | |
| 93971 | <1% | 12 | $4K | |
| V2020 | Frames, purchases | <1% | 51 | $3K |
| D5410 | <1% | 60 | $3K | |
| 84439 | <1% | 242 | $2K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 33 | $2K |
| 82728 | <1% | 152 | $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% | 430 | $2K |
| A4616 | Tubing (oxygen), per foot | <1% | 844 | $2K |
| 68761 | <1% | 12 | $2K | |
| E1353 | Regulator | <1% | 333 | $2K |
| 82746 | <1% | 104 | $2K | |
| 73562 | <1% | 15 | $2K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 31 | $2K |
| H0032 | Mental health service plan development by non-physician | <1% | 33 | $2K |
| V2744 | Tint, photochromatic, per lens | <1% | 16 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 159 | $2K |
| 83550 | <1% | 161 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 83540 | <1% | 203 | $1K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 16 | $1K |
| 99490 | Ccm add 20min | <1% | 37 | $1K |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 12 | $1K |
| 82570 | <1% | 218 | $1K | |
| D5411 | <1% | 24 | $1K | |
| 82310 | <1% | 218 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 29 | $1K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 168 | $1K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 22 | $954.58 |
| 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) | <1% | 59 | $952.29 |
| E1354 | Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each | <1% | 185 | $950.25 |
| 84100 | <1% | 190 | $942.53 | |
| 99304 | <1% | 12 | $900.13 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 17 | $854.76 |
| 87186 | <1% | 69 | $804.84 | |
| 82043 | <1% | 113 | $800.04 | |
| 92593 | <1% | 19 | $760.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 12 | $720.00 |
| 87088 | <1% | 70 | $704.32 | |
| 81001 | <1% | 166 | $601.39 | |
| 83880 | <1% | 15 | $599.10 | |
| 92557 | <1% | 25 | $592.56 | |
| 77080 | <1% | 14 | $539.70 | |
| 83735 | <1% | 65 | $533.00 | |
| 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% | 148 | $524.26 |
| D0180 | <1% | 15 | $492.15 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 45 | $411.46 |
| A7037 | Tubing used with positive airway pressure device | <1% | 15 | $380.85 |
| 80069 | <1% | 30 | $319.20 | |
| D0460 | <1% | 12 | $315.72 | |
| 84153 | <1% | 14 | $315.42 | |
| 92700 | <1% | 25 | $300.00 | |
| A7035 | Headgear used with positive airway pressure device | <1% | 13 | $281.45 |
| K0001 | Standard wheelchair | <1% | 21 | $210.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 17 | $151.81 |
| 87077 | <1% | 16 | $147.56 | |
| 85027 | <1% | 16 | $97.60 | |
| 84156 | <1% | 21 | $94.29 | |
| 84520 | <1% | 16 | $62.56 | |
| 82565 | <1% | 16 | $58.78 | |
| 84155 | <1% | 16 | $55.48 | |
| 84075 | <1% | 15 | $54.69 | |
| 84295 | <1% | 15 | $52.51 | |
| 82040 | <1% | 14 | $50.64 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $49.50 |
| 82374 | <1% | 15 | $48.97 | |
| 82435 | <1% | 15 | $48.83 | |
| 84450 | <1% | 13 | $42.01 | |
| 84460 | <1% | 13 | $42.01 | |
| 82247 | <1% | 13 | $42.01 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 23 | $16.61 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 67 | $0.00 |
| 97163 | 0% | 1,499 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 932 | $0.00 |
| 97167 | 0% | 1,283 | $0.00 | |
| T1001 | Nursing assessment / evaluation | 0% | 957 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 562 | $0.00 |
| H0046 | Mental health services, not otherwise specified | 0% | 1,059 | $0.00 |
| G0422 | Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session | 0% | 74 | $0.00 |
| A0130 | Non-emergency transportation: wheelchair van | 0% | 6,980 | $0.00 |
| 99442 | 0% | 325 | $0.00 | |
| 97161 | 0% | 468 | $0.00 | |
| H2032 | Activity therapy, per 15 minutes | 0% | 361 | $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% | 68 | $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% | 253 | $0.00 |
| 97165 | 0% | 286 | $0.00 | |
| S5101 | Day care services, adult; per half day | 0% | 2,584 | $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% | 2,123 | $0.00 |
| S5102 | Adult day care, billed per day | 0% | 113 | $0.00 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 1,199 | $0.00 |
| 99305 | 0% | 170 | $0.00 | |
| H0033 | Oral medication administration, direct observation | 0% | 114 | $0.00 |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 0% | 210 | $0.00 |
| 98967 | 0% | 2,012 | $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% | 797 | $0.00 |
| 97166 | 0% | 131 | $0.00 | |
| 97162 | 0% | 190 | $0.00 | |
| J2704 | Injection, propofol, 10 mg | 0% | 13 | $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 COORDINATOR)
Parent organizationTOTAL LONGTERM CARE, INC.
| Provider | Location | Paid |
|---|---|---|
| Total Longterm Care, INC | Lakewood, CO | $20.92M |
| 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.