Behavioral
New Approach TCM Services
New Approach TCM Services was paid $100K by Medicaid between Nov 2022 and Jun 2023, across 2 billing codes. Its largest line is 97156, — 53% of everything it billed.
33Billing provider infoNEW APPROACH TCM SERVICES
DORAL, FL 33126
DORAL, FL 33126
33aNPI1033875851assigned 11/16/2021
33bProvider typeBehavioral Analyst
28Total paid$100K
24GClaims723
24DCodes billed2
24AFirst – last monthNov 2022 – Jun 2023
Compared with peers
Next to other Behavioral Analyst providers in Florida
Rank by total paid#363 of 631
Median peer was paid$148K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 124 | $16K | |
| 2023 | 599 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97156 | 53% | 382 | 102 | $53K | |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 47% | 341 | 88 | $46K |
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 officialFRIAS ESPINOSA, JORGE (CEO)
| Provider | Location | Paid |
|---|---|---|
| New Approach TCM Services | Doral, FL | $7.52M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.