QUALITY CASE MANAGEMENT INC
NPI: 1386060424
· AFTON, WY 83110
· Case Management Agency
· NPI assigned 03/13/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2022 with only 1 total codes billed. Highly concentrated billing profile.
$2.05M
Total Medicaid Paid
Provider Details
| Authorized Official | MCKEN, PAMELA (PRESIDENT) |
| NPI Enumeration Date | 03/13/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
999 |
$289K |
| 2019 |
950 |
$275K |
| 2020 |
919 |
$266K |
| 2021 |
913 |
$250K |
| 2022 |
982 |
$311K |
| 2023 |
1,014 |
$330K |
| 2024 |
941 |
$326K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2022 |
Case management, per month |
6,718 |
6,590 |
$2.05M |