Agency
Toc, INC
Toc, INC was paid $16.99M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 44% of everything it billed.
33Billing provider infoTOC, INC
MONTROSE, CO 81401
MONTROSE, CO 81401
33aNPI1881068062assigned 11/25/2015
33bProvider typeIn Home Supportive Care Agency
28Total paid$16.99M
24GClaims257,989
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other In Home Supportive Care Agency providers in Colorado
Rank by total paid#29 of 159
Median peer was paid$2.71M
This provider vs. median6.3×
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 | 14,146 | $2.66M | |
| 2019 | 14,477 | $2.77M | |
| 2020 | 17,658 | $2.80M | |
| 2021 | 56,699 | $2.48M | |
| 2022 | 54,533 | $2.15M | |
| 2023 | 47,611 | $2.17M | |
| 2024incomplete | 52,865 | $1.97M |
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) | 44% | 114,343 | 8,364 | $7.48M |
| H0038 | Self-help/peer services, per 15 minutes | 44% | 87,684 | 6,278 | $7.43M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 12% | 55,962 | 6,663 | $2.07M |
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 (SEC/TREAS)
Parent organizationTOC, INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.