Agency
Pacesetters Incorporated
Pacesetters Incorporated was paid $4.37M by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is T2033, Residential care, not otherwise specified (nos), waiver; per diem — 58% of everything it billed.
33Billing provider infoPACESETTERS INCORPORATED
ALGOOD, TN 38506
ALGOOD, TN 38506
33aNPI1386867380assigned 04/10/2007
33bProvider typeCase Management Agency
28Total paid$4.37M
24GClaims24,328
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Case Management Agency providers in Tennessee
Rank by total paid#6 of 24
Median peer was paid$588K
This provider vs. median7.4×
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 | 264 | $107K | |
| 2019 | 428 | $142K | |
| 2020 | 75 | $24K | |
| 2024incomplete | 23,561 | $4.09M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 58% | 7,477 | 259 | $2.51M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 25% | 14,913 | 744 | $1.10M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 17% | 1,938 | 64 | $758K |
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 officialBILBREY, DIANA (OPERATIONS DIRECTOR)