Agency
Encompass Community Services
Encompass Community Services was paid $108K by Medicaid between Aug 2022 and Oct 2024, across 5 billing codes. Its largest line is G9008, Coordinated care fee, physician coordinated care oversight services — 61% of everything it billed.
33Billing provider infoENCOMPASS COMMUNITY SERVICES
SANTA CRUZ, CA 95060
SANTA CRUZ, CA 95060
33aNPI1093934663assigned 04/24/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$108K
24GClaims3,132
24DCodes billed5
24AFirst – last monthAug 2022 – Oct 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in California
Rank by total paid#473 of 633
Median peer was paid$779K
This provider vs. median0.1×
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 | 377 | $12K | |
| 2023 | 967 | $56K | |
| 2024incomplete | 1,788 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9008 | Coordinated care fee, physician coordinated care oversight services | 61% | 584 | 568 | $65K |
| G9012 | Other specified case management service not elsewhere classified | 39% | 1,064 | 829 | $42K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 0% | 1,269 | 1,235 | $0.00 |
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | 0% | 193 | 193 | $0.00 |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | 0% | 22 | 22 | $0.00 |
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, MONICA (CEO)
Parent organizationENCOMPASS COMMUNITY SERVICES
| Provider | Location | Paid |
|---|---|---|
| Frio Hospital Association | Dilley, TX | $828K |
| Frio Hospital Association | Pearsall, TX | $135K |
| MM Medical Solutions LLC | Las Vegas, NV | $77K |
| Frio Hospital Association | Dilly, TX | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.