Tropical Care Medical Center, Corp

Tropical Care Medical Center, Corp was paid $1.59M by Medicaid between Jul 2019 and Aug 2021, across 6 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoTROPICAL CARE MEDICAL CENTER, CORP
HIALEAH, FL 33012

33aNPI1255875324assigned 12/08/2016

33bProvider typeCase Management Agency

28Total paid$1.59M

24GClaims12,469

24DCodes billed6

24AFirst – last monthJul 2019 – Aug 2021

Compared with peers

Next to other Case Management Agency providers in Florida

Rank by total paid#145 of 357

Median peer was paid$839K

This provider vs. median1.9×

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	1,777	$239K
2020	8,217	$1.03M
2021	2,475	$324K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	99%	12,053	976	$1.57M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	<1%	215	105	$15K
H0032	Mental health service plan development by non-physician	<1%	70	64	$4K
H2000	Comprehensive multidisciplinary evaluation	<1%	39	30	$2K
H0031	Mental health assessment, by non-physician	<1%	72	51	$1K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	<1%	20	15	$480.00

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 officialHERNANDEZ, IDIANA (CEO)