Clinic
Tropical Texas Behavioral Health
Tropical Texas Behavioral Health was paid $5.53M by Medicaid between Feb 2021 and Nov 2024, across 11 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 53% of everything it billed.
33Billing provider infoTROPICAL TEXAS BEHAVIORAL HEALTH
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1093916835assigned 05/30/2007
33bProvider typeAdult Mental Health Clinic/Center
28Total paid$5.53M
24GClaims68,967
24DCodes billed11
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Adult Mental Health Clinic/Center providers in Texas
Rank by total paid#2 of 24
Median peer was paid$360K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2021 | 12,296 | $957K | |
| 2022 | 18,453 | $1.52M | |
| 2023 | 19,442 | $1.54M | |
| 2024incomplete | 18,776 | $1.51M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 53% | 37,677 | 1,244 | $2.95M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 20% | 11,787 | 526 | $1.08M |
| M0354 | 8.2% | 4,822 | 276 | $453K | |
| M0123 | 7.4% | 5,413 | 202 | $412K | |
| M0122 | 6.6% | 5,022 | 174 | $364K | |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 3.3% | 2,238 | 403 | $182K |
| M0143 | 1.2% | 1,015 | 186 | $67K | |
| T1002 | Rn services, up to 15 minutes | <1% | 549 | 358 | $18K |
| M0299 | <1% | 414 | 286 | $8K | |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 17 | 17 | $166.51 |
| M0298 | <1% | 13 | 13 | $96.46 |
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 officialPEREZ, AMY (DIRECTOR OF MANAGED CARE)
| Provider | Location | Paid |
|---|---|---|
| Tropical Texas Behavioral Health | Edinburg, TX | $61.45M |
| Tropical Texas Behavioral Health | Edinburg, TX | $13.09M |
| Tropical Texas Behavioral Health | Edinburg, TX | $514K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.