Quality Care Case Management, LLC.
Quality Care Case Management, LLC. was paid $17.51M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 97535, Self-care/home management training, each 15 minutes — 46% of everything it billed.
33Billing provider infoQUALITY CARE CASE MANAGEMENT, LLC.
RICHMOND, KY 40475
RICHMOND, KY 40475
33aNPI1346582343assigned 03/18/2013
33bProvider typeSpeech/Language/Hearing Specialist/Technologist
28Total paid$17.51M
24GClaims115,201
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
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 | 11,952 | $1.40M | |
| 2019 | 13,697 | $1.73M | |
| 2020 | 20,922 | $2.37M | |
| 2021 | 23,067 | $2.64M | |
| 2022 | 14,307 | $2.89M | |
| 2023 | 16,643 | $3.66M | |
| 2024incomplete | 14,613 | $2.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97535 | Self-care/home management training, each 15 minutes | 46% | 39,617 | 3,378 | $8.04M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 30% | 31,714 | 8,736 | $5.34M |
| T2022 | Case management, per month | 14% | 7,872 | 6,637 | $2.42M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 8.1% | 31,929 | 4,254 | $1.42M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 1,648 | 461 | $130K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,264 | 359 | $107K |
| S9129 | Occupational therapy, in the home, per diem | <1% | 392 | 106 | $27K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | <1% | 765 | 144 | $25K |
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 officialDURBIN, TERRA (OWNER/EXECUTIVE DIRECTOR)