BIG BEAR ACADEMY
NPI: 1366810079
· MIAMI, FL 33173
· Case Manager/Care Coordinator
· NPI assigned 09/11/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1025 with only 1 total codes billed. Highly concentrated billing profile.
$15.81M
Total Medicaid Paid
Provider Details
| Authorized Official | SUAREZ FERNANDEZ, JOSE (PRESIDENT) |
| NPI Enumeration Date | 09/11/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,459 |
$855K |
| 2019 |
12,257 |
$2.48M |
| 2020 |
12,018 |
$1.94M |
| 2021 |
14,504 |
$2.05M |
| 2022 |
9,680 |
$1.69M |
| 2023 |
18,362 |
$3.91M |
| 2024 |
11,706 |
$2.89M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
85,986 |
4,613 |
$15.81M |