Agency
Tricounty Care Management Organization
Tricounty Care Management Organization was paid $49.50M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is T2023, Targeted case management; per month — 100% of everything it billed.
33Billing provider infoTRICOUNTY CARE MANAGEMENT ORGANIZATION
BRANCHBURG, NJ 08876
BRANCHBURG, NJ 08876
33aNPI1124159363assigned 03/08/2007
33bProvider typeCase Management Agency
28Total paid$49.50M
24GClaims54,850
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in New Jersey
Rank by total paid#18 of 161
Median peer was paid$2.07M
This provider vs. median24×
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 Concentration100% of spending on code T2023 with only 1 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 | |
|---|---|---|---|
| 2018 | 6,324 | $4.90M | |
| 2019 | 6,162 | $4.78M | |
| 2020 | 6,676 | $5.17M | |
| 2021 | 6,907 | $6.62M | |
| 2022 | 8,644 | $8.24M | |
| 2023 | 10,392 | $10.09M | |
| 2024incomplete | 9,745 | $9.70M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 100% | 54,850 | 54,801 | $49.50M |
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 officialVITALE, PATRICK (CHIEF FINANCIAL OFFICER)