Agency
Outpatient Psy Care INC
Outpatient Psy Care INC was paid $4.32M by Medicaid between Jun 2018 and Dec 2024, across 11 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 75% of everything it billed.
33Billing provider infoOUTPATIENT PSY CARE INC
MIAMI, FL 33125
MIAMI, FL 33125
33aNPI1306897954assigned 05/16/2006
33bProvider typeCase Management Agency
28Total paid$4.32M
24GClaims88,153
24DCodes billed11
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Florida
Rank by total paid#70 of 357
Median peer was paid$839K
This provider vs. median5.1×
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 | 1,776 | $118K | |
| 2019 | 9,920 | $644K | |
| 2020 | 14,070 | $824K | |
| 2021 | 13,934 | $1.02M | |
| 2022 | 19,701 | $575K | |
| 2023 | 20,624 | $659K | |
| 2024incomplete | 8,128 | $480K |
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 | 75% | 72,410 | 7,425 | $3.22M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 11% | 9,496 | 3,814 | $455K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 7.0% | 3,233 | 578 | $303K |
| H2014 | Skills training and development, per 15 minutes | 4.8% | 865 | 52 | $206K |
| H2012 | Behavioral health day treatment, per hour | 1.5% | 337 | 96 | $63K |
| H0032 | Mental health service plan development by non-physician | <1% | 652 | 341 | $23K |
| H0031 | Mental health assessment, by non-physician | <1% | 580 | 182 | $11K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 74 | 24 | $11K |
| 97156 | <1% | 70 | 24 | $10K | |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 414 | 186 | $7K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 22 | 15 | $988.32 |
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 officialGONZALEZ-DIAZ, VIVIAN (PRESIDENT)