Clinic
Case Management INC
Case Management INC was paid $22.52M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 74% of everything it billed.
33Billing provider infoCASE MANAGEMENT INC
MEMPHIS, TN 38131
MEMPHIS, TN 38131
33aNPI1326116476assigned 11/30/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$22.52M
24GClaims340,304
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#1 of 139
Median peer was paid$101K
This provider vs. median224×
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 | 68,867 | $4.27M | |
| 2019 | 52,449 | $3.62M | |
| 2020 | 52,233 | $3.64M | |
| 2021 | 43,477 | $2.81M | |
| 2022 | 43,936 | $2.98M | |
| 2023 | 45,354 | $2.94M | |
| 2024incomplete | 33,988 | $2.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 74% | 104,050 | 90,774 | $16.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 76,188 | 60,126 | $2.35M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 6.4% | 20,956 | 16,204 | $1.44M |
| H0043 | Supported housing, per diem | 5.6% | 889 | 537 | $1.25M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 4,097 | 2,243 | $318K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.0% | 4,415 | 3,618 | $229K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 3,202 | 2,983 | $144K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 1,703 | 1,589 | $76K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 446 | 391 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 10,084 | 8,782 | $17K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,006 | 382 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 190 | 137 | $6K |
12 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 181 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 86 | $4K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 34 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 13 | $514.84 |
| 99442 | <1% | 12 | $115.63 | |
| 3008F | <1% | 911 | $70.00 | |
| G9005 | Coordinated care fee, risk adjusted maintenance | <1% | 58,550 | $60.80 |
| G9004 | Coordinated care fee, risk adjusted low, initial | <1% | 39,555 | $31.00 |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | <1% | 6,655 | $14.20 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | <1% | 4,773 | $4.20 |
| G9006 | Coordinated care fee, home monitoring | <1% | 1,640 | $3.80 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 668 | $0.00 |
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 officialHERVERY, FLORENCE (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Your Community Health & Wellness | Memphis, TN | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.