Agency
Community Options, INC.
Community Options, INC. was paid $15.09M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 75% of everything it billed.
33Billing provider infoCOMMUNITY OPTIONS, INC.
MONTROSE, CO 81401
MONTROSE, CO 81401
33aNPI1770946709assigned 03/29/2016
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$15.09M
24GClaims19,410
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Colorado
Rank by total paid#28 of 152
Median peer was paid$2.44M
This provider vs. median6.2×
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 | 5,137 | $2.37M | |
| 2019 | 4,653 | $2.34M | |
| 2020 | 2,313 | $1.86M | |
| 2021 | 1,962 | $1.95M | |
| 2022 | 1,872 | $2.16M | |
| 2023 | 1,731 | $2.14M | |
| 2024incomplete | 1,742 | $2.27M |
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 | 75% | 3,651 | 3,461 | $11.27M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 16% | 8,704 | 7,987 | $2.36M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 3.9% | 4,192 | 4,093 | $583K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 2.1% | 1,146 | 844 | $315K |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 2.0% | 634 | 529 | $306K |
| 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) | 1.3% | 531 | 487 | $192K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | <1% | 350 | 312 | $59K |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 14 | 14 | $1K |
| T2034 | Crisis intervention, waiver; per diem | 0% | 188 | 143 | $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 officialTEA, HOLLY (IT DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Options, INC. | Montrose, CO | $3.78M |
| Community Options, INC. | Cedaredge, CO | $2.37M |
| Community Options, INC. | Montrose, CO | $1.39M |
| Community Options, INC. | Montrose, CO | $291K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.