A Circle of Care Colorado Llc.
In Home Supportive Care
Colorado Springs, Colorado
NPI: 1306303680
Risk Tier
High
Total Paid
$101.7M
$101,668,632
Total Claims
0
Beneficiaries
0
Avg Cost/Claim
$0.00
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $268.78 per claim for H0038 (Self-help/peer services, per 15 minutes), which is 4.9× the national median of $55.04.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T2034 (2 unique codes).
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024