Agency
Mountain Community Pathways
Mountain Community Pathways was paid $9.51M by Medicaid between Jan 2018 and Sep 2022, across 4 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 76% of everything it billed.
33Billing provider infoMOUNTAIN COMMUNITY PATHWAYS
EVERGREEN, CO 80439
EVERGREEN, CO 80439
33aNPI1851740526assigned 06/03/2016
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$9.51M
24GClaims25,049
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Colorado
Rank by total paid#35 of 152
Median peer was paid$2.44M
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2018 | 1,382 | $1.53M | |
| 2019 | 1,552 | $1.81M | |
| 2020 | 1,548 | $1.96M | |
| 2021 | 6,119 | $2.16M | |
| 2022 | 14,448 | $2.05M |
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 | 76% | 12,630 | 1,330 | $7.21M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 20% | 7,749 | 1,773 | $1.92M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 4.1% | 4,537 | 1,484 | $386K |
| T2034 | Crisis intervention, waiver; per diem | 0% | 133 | 124 | $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 officialWILSON, JOAN (CO-DIRECTOR)