Access TCM LLC

Access TCM LLC was paid $3.46M by Medicaid between Oct 2018 and Jul 2021, across 1 billing code. Its largest line is T1017, case management, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoACCESS TCM LLC
HOMESTEAD, FL 33030

33aNPI1467974006assigned 07/14/2017

33bProvider typeCase Management Agency

28Total paid$3.46M

24GClaims64,999

24DCodes billed1

24AFirst – last monthOct 2018 – Jul 2021

Compared with peers

Next to other Case Management Agency providers in Florida

Rank by total paid#84 of 357

Median peer was paid$839K

This provider vs. median4.1×

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 T1017 with only 1 total codes billed. Highly concentrated billing profile.

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	3,576	$235K
2019	32,175	$1.87M
2020	19,068	$837K
2021	10,180	$520K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	100%	64,999	5,668	$3.46M

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 officialSANCHEZ, GILBERTO (OWNER)