PUEBLO COMMUNITY CONNECTIONS INC II
NPI: 1891232021
· PUEBLO, CO 81005
· Developmentally Disabled Services Day Training Agency
· NPI assigned 01/25/2017
$1.01M
Total Medicaid Paid
Provider Details
| Authorized Official | LAVINE, THOMAS (OWNER/OPERATOR) |
| NPI Enumeration Date | 01/25/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,188 |
$704K |
| 2019 |
1,416 |
$286K |
| 2020 |
306 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
1,965 |
218 |
$710K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,349 |
233 |
$201K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,596 |
463 |
$95K |