Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OPTIMUM POTENTIAL COMMUNITY SERVICES

NPI: 1316317381 · KISSIMMEE, FL 34741 · Community/Behavioral Health Agency · NPI assigned 10/02/2015

$581K
Total Medicaid Paid
8,883
Total Claims
3,189
Beneficiaries
4
Codes Billed
2019-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialTHOMAS, LUCILLE (TARGETED CASE MANAGER)
NPI Enumeration Date10/02/2015

Related Entities

Other providers sharing the same authorized official: THOMAS, LUCILLE

ProviderCityStateTotal Paid
OPTIMUM POTENTIAL COMMUNITY SERVICES LLC KISSIMMEE FL $246K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 688 $39K
2020 1,111 $72K
2021 1,296 $84K
2022 2,505 $162K
2023 2,253 $152K
2024 1,030 $73K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2019 Therapeutic behavioral services, per 15 minutes 5,879 2,348 $419K
T1017 Targeted case management, each 15 minutes 2,813 687 $152K
H0032 Mental health service plan development by non-physician 91 88 $7K
H0031 Mental health assessment, by non-physician 100 66 $3K