Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEW MEXICO QUALITY CASE MANAGEMENT

NPI: 1053524439 · ALBUQUERQUE, NM 87109 · Case Management Agency · NPI assigned 05/08/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

96% of spending on code T2022 with only 2 total codes billed. Highly concentrated billing profile.

$3.51M
Total Medicaid Paid
11,334
Total Claims
10,550
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialMARTIN, KRISTIN (PRESIDENT)
NPI Enumeration Date05/08/2007

Related Entities

Other providers sharing the same authorized official: MARTIN, KRISTIN

ProviderCityStateTotal Paid
ARKANSAS EMERGENCY PHYSICIAN ASSOCIATES, P.A. RUSSELLVILLE AR $666K
RIVER VALLEY MEDICAL WELLNESS, LLC RUSSELLVILLE AR $194K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,359 $335K
2019 1,331 $344K
2020 1,365 $401K
2021 1,612 $576K
2022 2,302 $713K
2023 2,325 $788K
2024 1,040 $357K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2022 Case management, per month 10,550 9,987 $3.39M
T2024 Service assessment/plan of care development, waiver 784 563 $125K