Community Case Management Services, LLC

Community Case Management Services, LLC was paid $11.23M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 62% of everything it billed.

33Billing provider infoCOMMUNITY CASE MANAGEMENT SERVICES, LLC
NORTH MIAMI, FL 33181

33aNPI1164849931assigned 03/18/2014

33bProvider typeBehavioral Analyst

28Total paid$11.23M

24GClaims193,107

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Behavioral Analyst providers in Florida

Rank by total paid#12 of 631

Median peer was paid$148K

This provider vs. median76×

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
2018	38,942	$1.73M
2019	52,519	$3.52M
2020	51,281	$2.96M
2021	37,714	$2.39M
2022	12,369	$597K
2023	94	$12K
2024incomplete	188	$24K

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	62%	142,749	17,297	$6.94M
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	22%	22,546	2,098	$2.46M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	14%	21,930	7,450	$1.55M
H0031	Mental health assessment, by non-physician	<1%	2,499	1,483	$82K
H0032	Mental health service plan development by non-physician	<1%	1,499	1,357	$63K
H2030	Mental health clubhouse services, per 15 minutes	<1%	922	95	$50K
97156		<1%	282	119	$36K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	<1%	533	496	$29K
H2000	Comprehensive multidisciplinary evaluation	<1%	95	90	$12K
H2012	Behavioral health day treatment, per hour	<1%	34	12	$6K
H2010	Comprehensive medication services, per 15 minutes	<1%	18	14	$270.00

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 officialGERSON, NADAL (OWNER)