SECOND HOME LLC
NPI: 1780158691
· COLORADO SPRINGS, CO 80910
· Adult Day Care Clinic/Center
· NPI assigned 01/14/2019
$3.00M
Total Medicaid Paid
Provider Details
| Authorized Official | KRYLOV, GURGEN (MEMBER) |
| NPI Enumeration Date | 01/14/2019 |
Related Entities
Other providers sharing the same authorized official: KRYLOV, GURGEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
295 |
$90K |
| 2020 |
1,110 |
$440K |
| 2021 |
1,006 |
$524K |
| 2022 |
868 |
$593K |
| 2023 |
810 |
$623K |
| 2024 |
923 |
$735K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
2,786 |
2,111 |
$2.46M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,145 |
1,667 |
$479K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
56 |
54 |
$63K |
| T2003 |
Non-emergency transportation; encounter/trip |
13 |
13 |
$4K |
| A0130 |
Non-emergency transportation: wheelchair van |
12 |
12 |
$2K |