Sapphire Mental Health Center LLC

Sapphire Mental Health Center LLC was paid $3.55M by Medicaid between May 2019 and Aug 2024, across 4 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 88% of everything it billed.

33Billing provider infoSAPPHIRE MENTAL HEALTH CENTER LLC
MIAMI, FL 33165

33aNPI1114411436assigned 06/20/2018

33bProvider typeSocial Worker

28Total paid$3.55M

24GClaims52,511

24DCodes billed4

24AFirst – last monthMay 2019 – Aug 2024

Compared with peers

Next to other Social Worker providers in Florida

Rank by total paid#3 of 51

Median peer was paid$116K

This provider vs. median31×

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
2019	7,565	$540K
2020	27,626	$1.71M
2021	14,064	$1.13M
2023	858	$10K
2024incomplete	2,398	$162K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	88%	47,856	4,425	$3.12M
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	12%	4,602	429	$434K
H0031	Mental health assessment, by non-physician	<1%	36	15	$414.00
H0032	Mental health service plan development by non-physician	<1%	17	14	$194.00

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 officialPINO, ANA (MANAGER)