VELEZ CASE MANAGEMENT
NPI: 1225531627
· GALLUP, NM 87301
· Case Manager/Care Coordinator
· NPI assigned 03/12/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.
$1.11M
Total Medicaid Paid
Provider Details
| Authorized Official | VELEZ, AMBER (INDEPENT CASE MANAGER) |
| NPI Enumeration Date | 03/12/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,170 |
$137K |
| 2019 |
3,229 |
$570K |
| 2020 |
1,543 |
$388K |
| 2021 |
81 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
6,023 |
1,049 |
$1.11M |