Velez Case Management
Velez Case Management was paid $1.11M by Medicaid between Apr 2018 and Jan 2021, across 1 billing code. Its largest line is T1017, case management, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoVELEZ CASE MANAGEMENT
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1225531627assigned 03/12/2018
33bProvider typeCase Manager/Care Coordinator
28Total paid$1.11M
24GClaims6,023
24DCodes billed1
24AFirst – last monthApr 2018 – Jan 2021
Compared with peers
Next to other Case Manager/Care Coordinator providers in New Mexico
Rank by total paid#6 of 12
Median peer was paid$476K
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 Concentration100% of spending on code T1017 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 | 1,170 | $137K | |
| 2019 | 3,229 | $570K | |
| 2020 | 1,543 | $388K | |
| 2021 | 81 | $15K |
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 | 100% | 6,023 | 1,049 | $1.11M |
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 officialVELEZ, AMBER (INDEPENT CASE MANAGER)