NP / PA
Transitional Care Specialists
Transitional Care Specialists was paid $25K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 93% of everything it billed.
33Billing provider infoTRANSITIONAL CARE SPECIALISTS
THORNTON, CO 80241
THORNTON, CO 80241
33aNPI1952756934assigned 04/27/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$25K
24GClaims1,502
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Colorado
Rank by total paid#44 of 123
Median peer was paid$9K
This provider vs. median2.8×
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 | 68 | $2K | |
| 2021 | 149 | $1K | |
| 2022 | 104 | $1K | |
| 2023 | 468 | $7K | |
| 2024incomplete | 713 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 93% | 1,364 | 683 | $23K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 6.0% | 120 | 71 | $1K |
| 99310 | Prolong nursin fac eval 15m | 1.3% | 18 | 15 | $325.47 |
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 officialSOMMERS, MELINA (CREDENTIALING SPECIALISTS)