Agency
Optimum Potential Community Services
Optimum Potential Community Services was paid $581K by Medicaid between Jan 2019 and May 2024, across 4 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 72% of everything it billed.
33Billing provider infoOPTIMUM POTENTIAL COMMUNITY SERVICES
KISSIMMEE, FL 34741
KISSIMMEE, FL 34741
33aNPI1316317381assigned 10/02/2015
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$581K
24GClaims8,883
24DCodes billed4
24AFirst – last monthJan 2019 – May 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Florida
Rank by total paid#289 of 659
Median peer was paid$392K
This provider vs. median1.5×
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 | 688 | $39K | |
| 2020 | 1,111 | $72K | |
| 2021 | 1,296 | $84K | |
| 2022 | 2,505 | $162K | |
| 2023 | 2,253 | $152K | |
| 2024incomplete | 1,030 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 72% | 5,879 | 2,348 | $419K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 26% | 2,813 | 687 | $152K |
| H0032 | Mental health service plan development by non-physician | 1.2% | 91 | 88 | $7K |
| H0031 | Mental health assessment, by non-physician | <1% | 100 | 66 | $3K |
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 officialTHOMAS, LUCILLE (TARGETED CASE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Optimum Potential Community Services LLC | Kissimmee, FL | $246K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.