Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › LAS CRUCES › HEART OF NM CASE MANAGEMENT, LLC

HEART OF NM CASE MANAGEMENT, LLC

NPI: 1083262778 · LAS CRUCES, NM 88005 · Case Management Agency · NPI assigned 08/27/2019

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

92% of spending on code T2022 with only 3 total codes billed. Highly concentrated billing profile.

$4.14M
Total Medicaid Paid
11,681
Total Claims
11,186
Beneficiaries
3
Codes Billed
2019-12
First Month
2024-06
Last Month

Provider Details

Authorized OfficialMARTINEZ, DAWNMARIE (DIRECTOR/OWNER)
NPI Enumeration Date08/27/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 69 $17K
2020 1,213 $371K
2021 1,433 $525K
2022 2,936 $986K
2023 3,824 $1.44M
2024 2,206 $803K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2022 Case management, per month 10,551 10,320 $3.80M
T2024 Service assessment/plan of care development, waiver 894 644 $284K
T2025 Waiver services; not otherwise specified (nos) 236 222 $59K