Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

M.O.D. INC.,

M.O.D. INC., was paid $3.15M by Medicaid between Jan 2018 and Sep 2024, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoM.O.D. INC.,
DENVER, CO 80205
33aNPI1821201484assigned 05/08/2007
33bProvider typeHome Health Agency
28Total paid$3.15M
24GClaims8,619
24DCodes billed2
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Home Health Agency providers in Colorado

Rank by total paid#109 of 252
Median peer was paid$2.29M
This provider vs. median1.4×

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 Concentration100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20181,571$472K
20191,305$450K
20201,239$525K
20211,245$499K
20221,411$501K
20231,109$417K
2024incomplete739$287K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 100% 8,488 2,325 $3.13M
S5130 Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes <1% 131 36 $15K

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 officialLYONS, DENISE (PRESIDENT)
Same official

Other billing entities under LYONS, DENISE

Full network →
ProviderLocationPaid
Denise V. LyonsDenver, CO$219K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.