Toc, INC.
Toc, INC. was paid $1.94M by Medicaid between Dec 2019 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 61% of everything it billed.
33Billing provider infoTOC, INC.
DELTA, CO 81416
DELTA, CO 81416
33aNPI1851446637assigned 01/24/2007
33bProvider typeHomemaker
28Total paid$1.94M
24GClaims46,668
24DCodes billed3
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Homemaker providers in Colorado
Rank by total paid#26 of 53
Median peer was paid$1.81M
This provider vs. median1.1×
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 | 37 | $3K | |
| 2020 | 5,327 | $509K | |
| 2021 | 9,906 | $402K | |
| 2022 | 9,877 | $333K | |
| 2023 | 9,310 | $354K | |
| 2024incomplete | 12,211 | $335K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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) | 61% | 24,498 | 2,139 | $1.17M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 39% | 20,767 | 3,367 | $762K |
| H0038 | Self-help/peer services, per 15 minutes | 0% | 1,403 | 104 | $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 officialMARTINEZ, TRACY (ADMINISTRATOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.