Excel Case Management, INC.

Excel Case Management, INC. was paid $6.43M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T2022, Case management, per month — 99% of everything it billed.

33Billing provider infoEXCEL CASE MANAGEMENT, INC.
FARMINGTON, NM 87401

33aNPI1144360462assigned 02/07/2007

33bProvider typeCase Management Agency

28Total paid$6.43M

24GClaims21,774

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in New Mexico

Rank by total paid#12 of 35

Median peer was paid$2.74M

This provider vs. median2.3×

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 Concentration99% of spending on code T2022 with only 2 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	3,267	$749K
2019	3,170	$770K
2020	3,338	$879K
2021	3,236	$1.08M
2022	3,283	$1.14M
2023	3,696	$1.24M
2024incomplete	1,784	$573K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2022	Case management, per month	99%	21,723	20,711	$6.38M
T2024	Service assessment/plan of care development, waiver	<1%	51	42	$50K

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 officialPATE, LAURA (EXECUTIVE DIRECTOR)