Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ACCESS TCM LLC

NPI: 1467974006 · HOMESTEAD, FL 33030 · Case Management Agency · NPI assigned 07/14/2017

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

$3.46M
Total Medicaid Paid
64,999
Total Claims
5,668
Beneficiaries
1
Codes Billed
2018-10
First Month
2021-07
Last Month

Provider Details

Authorized OfficialSANCHEZ, GILBERTO (OWNER)
NPI Enumeration Date07/14/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,576 $235K
2019 32,175 $1.87M
2020 19,068 $837K
2021 10,180 $520K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 64,999 5,668 $3.46M