Denton County MHMR Center
Denton County MHMR Center was paid $10.50M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 42% of everything it billed.
33Billing provider infoDENTON COUNTY MHMR CENTER
DENTON, TX 76201
DENTON, TX 76201
33aNPI1578551347assigned 10/06/2005
33bProvider typeCase Manager/Care Coordinator
28Total paid$10.50M
24GClaims142,432
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in Texas
Rank by total paid#7 of 58
Median peer was paid$671K
This provider vs. median16×
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 | 657 | $18K | |
| 2019 | 545 | $15K | |
| 2020 | 3,764 | $203K | |
| 2021 | 29,577 | $1.85M | |
| 2022 | 52,918 | $3.98M | |
| 2023 | 48,886 | $3.96M | |
| 2024incomplete | 6,085 | $469K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 42% | 44,382 | 1,529 | $4.46M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 14% | 15,960 | 9,566 | $1.46M |
| M0123 | 9.1% | 12,552 | 497 | $956K | |
| H2014 | Skills training and development, per 15 minutes | 8.4% | 11,647 | 4,583 | $886K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.9% | 16,118 | 15,334 | $830K |
| T2020 | Day habilitation, waiver; per diem | 2.7% | 7,814 | 449 | $284K |
| T1002 | Rn services, up to 15 minutes | 1.8% | 2,856 | 1,016 | $186K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 1.6% | 2,132 | 709 | $172K |
| M0116 | 1.6% | 5,408 | 331 | $171K | |
| H2011 | Crisis intervention service, per 15 minutes | 1.6% | 528 | 465 | $170K |
| M0299 | 1.2% | 2,125 | 790 | $129K | |
| M0118 | 1.0% | 2,891 | 169 | $109K |
22 more codes
| M0122 | <1% | 1,421 | $103K | |
| H0034 | Medication training and support, per 15 minutes | <1% | 3,690 | $102K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 496 | $90K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 3,091 | $63K |
| M0101 | <1% | 463 | $48K | |
| M0298 | <1% | 2,569 | $40K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,636 | $40K |
| M0113 | <1% | 79 | $32K | |
| M0171 | <1% | 329 | $25K | |
| T2016 | A day of residential support for a person with a developmental disability | <1% | 974 | $24K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 213 | $20K |
| A9153 | Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified | <1% | 339 | $19K |
| M0372 | <1% | 900 | $15K | |
| M0133 | <1% | 157 | $15K | |
| D0120 | Dental checkup, returning patient | <1% | 39 | $14K |
| 90837 | Psychotherapy session, about an hour | <1% | 109 | $12K |
| T2025 | Waiver services not otherwise specified | <1% | 94 | $7K |
| M0248 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | <1% | 780 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 497 | $5K |
| M0315 | <1% | 90 | $2K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 23 | $1K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 30 | $216.41 |
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 officialGUTIERREZ, PAM (CEO)
| Provider | Location | Paid |
|---|---|---|
| Denton County MHMR Center | Denton, TX | $495K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.