Agency
Heart of NM Case Management, LLC
Heart of NM Case Management, LLC was paid $4.14M by Medicaid between Dec 2019 and Jun 2024, across 3 billing codes. Its largest line is T2022, Case management, per month — 92% of everything it billed.
33Billing provider infoHEART OF NM CASE MANAGEMENT, LLC
LAS CRUCES, NM 88005
LAS CRUCES, NM 88005
33aNPI1083262778assigned 08/27/2019
33bProvider typeCase Management Agency
28Total paid$4.14M
24GClaims11,681
24DCodes billed3
24AFirst – last monthDec 2019 – Jun 2024
Compared with peers
Next to other Case Management Agency providers in New Mexico
Rank by total paid#15 of 35
Median peer was paid$2.74M
This provider vs. median1.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration92% of spending on code T2022 with only 3 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2019 | 69 | $17K | |
| 2020 | 1,213 | $371K | |
| 2021 | 1,433 | $525K | |
| 2022 | 2,936 | $986K | |
| 2023 | 3,824 | $1.44M | |
| 2024incomplete | 2,206 | $803K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2022 | Case management, per month | 92% | 10,551 | 10,320 | $3.80M |
| T2024 | Service assessment/plan of care development, waiver | 6.9% | 894 | 644 | $284K |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 1.4% | 236 | 222 | $59K |
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 officialMARTINEZ, DAWNMARIE (DIRECTOR/OWNER)