Transitional Care Services, LLC

Transitional Care Services, LLC was paid $813K by Medicaid between Feb 2019 and Dec 2024, across 125 billing codes. Its largest line is 99349, — 36% of everything it billed.

33Billing provider infoTRANSITIONAL CARE SERVICES, LLC
WATERFORD, MI 48329

33aNPI1174976807assigned 07/18/2016

33bProvider typeMental Health Counselor

28Total paid$813K

24GClaims103,837

24DCodes billed125

24AFirst – last monthFeb 2019 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in Michigan

Rank by total paid#40 of 199

Median peer was paid$96K

This provider vs. median8.4×

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	1,386	$20K
2020	2,256	$34K
2021	5,287	$64K
2022	10,528	$164K
2023	31,664	$249K
2024incomplete	52,716	$282K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99349		36%	9,536	8,394	$297K
99350	Prolong home eval add 15m	13%	2,683	2,476	$107K
99348		7.4%	3,118	2,772	$60K
99487	Ccm add 20min	7.1%	2,657	2,655	$58K
99336		6.1%	1,499	1,309	$50K
99489	Ccm add 20min	5.2%	1,726	1,724	$42K
99490	Ccm add 20min	4.8%	2,437	2,430	$39K
99335		2.7%	957	789	$22K
99344		2.4%	488	476	$19K
99493		2.3%	855	854	$18K
11721		1.6%	2,440	2,199	$13K
99439		1.3%	895	895	$10K

113 more codes

99337		1.1%	319	$9K
99213	Doctor's office visit, returning patient (routine)	<1%	179	$8K
99494		<1%	594	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	236	$7K
11056		<1%	449	$5K
99443		<1%	130	$4K
99358	Prolong nursin fac eval 15m	<1%	173	$4K
99345	Prolong home eval add 15m	<1%	64	$3K
99442		<1%	170	$3K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	368	$3K
99343		<1%	63	$2K
99347		<1%	241	$2K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	291	$2K
99497		<1%	270	$2K
99496		<1%	42	$2K
99326		<1%	62	$2K
99386		<1%	16	$1K
99484		<1%	172	$1K
99454		<1%	88	$1K
99308	Subsequent nursing facility care, per day, straightforward	<1%	44	$927.74
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	119	$774.98
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	23	$741.81
G0136	Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months	<1%	277	$663.91
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	39	$656.10
99214	Doctor's office visit, returning patient (more involved)	<1%	25	$643.39
99342		<1%	16	$639.21
11750		<1%	13	$612.95
99325		<1%	13	$567.30
99406		<1%	233	$519.21
99491	Ccm add 20min	<1%	19	$464.01
99498		<1%	40	$462.29
11720		<1%	69	$340.03
99457		<1%	46	$330.10
11057		<1%	20	$284.21
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	90	$208.68
99407		<1%	40	$150.10
99000		<1%	72	$138.00
99401		<1%	49	$135.00
11055		<1%	18	$121.83
G2214	Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional	<1%	17	$117.39
11765		<1%	12	$111.85
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	<1%	48	$76.15
96127		<1%	70	$60.83
G0127	Trimming of dystrophic nails, any number	<1%	45	$51.19
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	<1%	13	$41.60
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	381	$31.90
99453		<1%	17	$31.56
99458		<1%	12	$14.99
36415	Collection of venous blood by venipuncture	<1%	16	$13.50
11719		<1%	334	$6.40
94760		<1%	487	$4.70
3074F		<1%	2,118	$0.54
3078F		<1%	2,305	$0.50
1034F		<1%	1,077	$0.31
3077F		<1%	1,047	$0.28
3079F		<1%	1,097	$0.27
3080F		<1%	624	$0.23
3075F		<1%	836	$0.19
1160F		<1%	3,123	$0.19
1159F		<1%	2,554	$0.19
3288F		<1%	2,590	$0.11
1101F		<1%	1,933	$0.10
3008F		<1%	422	$0.08
4013F		<1%	313	$0.08
1000F		<1%	431	$0.05
4064F		<1%	274	$0.04
4145F		<1%	216	$0.03
1170F		<1%	5,312	$0.01
4000F		<1%	12	$0.01
0521F		<1%	14	$0.01
0509F		0%	3,226	$0.00
4008F		0%	391	$0.00
G9226	Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)	0%	866	$0.00
1036F		0%	3,974	$0.00
1125F		0%	195	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	4,062	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	2,052	$0.00
G8418	Bmi is documented below normal parameters and a follow-up plan is documented	0%	238	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	152	$0.00
1126F		0%	183	$0.00
1123F		0%	240	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	523	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	1,225	$0.00
4010F		0%	190	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	268	$0.00
G2181	Bmi not documented due to medical reason or patient refusal of height or weight measurement	0%	592	$0.00
G0442	Annual alcohol misuse screening, 5 to 15 minutes	0%	183	$0.00
3048F		0%	12	$0.00
3044F		0%	80	$0.00
1111F		0%	27	$0.00
G9275	Documentation that patient is a current non-tobacco user	0%	16	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	138	$0.00
3011F		0%	16	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	17	$0.00
3066F		0%	15	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	5,432	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	6,572	$0.00
1090F		0%	5,089	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	3,652	$0.00
4004F		0%	92	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	942	$0.00
G8421	Bmi not documented and no reason is given	0%	188	$0.00
G8598	Aspirin or another antiplatelet therapy used	0%	148	$0.00
1124F		0%	39	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	53	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	18	$0.00
99072		0%	119	$0.00
1100F		0%	112	$0.00
G9724	Patients who had documentation of use of anticoagulant medications overlapping the measurement year	0%	135	$0.00
1175F		0%	43	$0.00
G8482	Influenza immunization administered or previously received	0%	29	$0.00
G8404	Lower extremity neurological exam performed and documented	0%	48	$0.00
2028F		0%	12	$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 officialTOUGAS, JAMES (CEO)