Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Big Bear Academy

Big Bear Academy was paid $15.81M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is T1025, Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem — 100% of everything it billed.

33Billing provider infoBIG BEAR ACADEMY
MIAMI, FL 33173
33aNPI1366810079assigned 09/11/2015
28Total paid$15.81M
24GClaims85,986
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Manager/Care Coordinator providers in Florida

Rank by total paid#2 of 58
Median peer was paid$189K
This provider vs. median84×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T1025 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
20187,459$855K
201912,257$2.48M
202012,018$1.94M
202114,504$2.05M
20229,680$1.69M
202318,362$3.91M
2024incomplete11,706$2.89M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem 100% 85,986 4,613 $15.81M

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 officialSUAREZ FERNANDEZ, JOSE (PRESIDENT)