Managed care
Caresource Management Group
Caresource Management Group was paid $16.45M by Medicaid between Jan 2018 and Sep 2024, across 1 billing code. Its largest line is T1016, Case management, each 15 minutes — 100% of everything it billed.
33Billing provider infoCARESOURCE MANAGEMENT GROUP
DAYTON, OH 45402
DAYTON, OH 45402
33aNPI1477098986assigned 12/20/2016
33bProvider typeExclusive Provider Organization
28Total paid$16.45M
24GClaims457,786
24DCodes billed1
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Ohio
Rank by total paid#1 of 6
Median peer was paid$177K
This provider vs. median93×
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 T1016 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 | 49,493 | $1.65M | |
| 2019 | 55,725 | $1.95M | |
| 2020 | 97,219 | $3.62M | |
| 2021 | 82,996 | $3.00M | |
| 2022 | 66,796 | $2.38M | |
| 2023 | 66,677 | $2.40M | |
| 2024incomplete | 38,880 | $1.43M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 100% | 457,786 | 211,442 | $16.45M |
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 officialMORRIS, PAMELA (CEO)