Behavioral
Tropical Texas Behavioral Health
Tropical Texas Behavioral Health was paid $61.45M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 32% of everything it billed.
33Billing provider infoTROPICAL TEXAS BEHAVIORAL HEALTH
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1588643787assigned 01/16/2006
33bProvider typeCounselor
28Total paid$61.45M
24GClaims604,878
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in Texas
Rank by total paid#1 of 189
Median peer was paid$64K
This provider vs. median957×
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 | 21,041 | $1.30M | |
| 2019 | 22,667 | $1.44M | |
| 2020 | 49,597 | $3.19M | |
| 2021 | 157,490 | $12.19M | |
| 2022 | 150,555 | $17.02M | |
| 2023 | 113,566 | $15.95M | |
| 2024incomplete | 89,962 | $10.35M |
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 | 32% | 181,151 | 128,126 | $19.63M |
| H2014 | Skills training and development, per 15 minutes | 27% | 128,556 | 81,131 | $16.40M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 16% | 66,845 | 20,492 | $9.67M |
| H2011 | Crisis intervention service, per 15 minutes | 6.2% | 12,581 | 9,202 | $3.83M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 5.1% | 25,403 | 9,514 | $3.16M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.7% | 11,657 | 11,510 | $1.66M |
| T2027 | Specialized childcare, waiver; per 15 minutes | 2.0% | 20,795 | 1,359 | $1.23M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 40,803 | 39,422 | $1.04M |
| H2032 | Activity therapy, per 15 minutes | 1.6% | 19,779 | 3,508 | $963K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.4% | 5,285 | 5,208 | $857K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 16,241 | 15,381 | $723K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.0% | 4,496 | 2,987 | $619K |
19 more codes
| H0034 | Medication training and support, per 15 minutes | <1% | 26,058 | $562K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 10,319 | $423K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 6,765 | $229K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 10,623 | $148K |
| T2003 | Non-emergency transportation, per trip | <1% | 9,662 | $105K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,215 | $81K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 535 | $44K |
| 99442 | <1% | 1,367 | $37K | |
| H0049 | Alcohol and/or drug screening | <1% | 1,342 | $15K |
| 99443 | <1% | 247 | $11K | |
| 99408 | <1% | 981 | $9K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 175 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,204 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 30 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 163 | $2K |
| 99441 | <1% | 134 | $2K | |
| 90756 | <1% | 112 | $1K | |
| 90656 | <1% | 79 | $644.99 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 275 | $0.00 |
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 officialPEREZ, AMY (DIRECTOR OF MANAGED CARE)
| Provider | Location | Paid |
|---|---|---|
| Tropical Texas Behavioral Health | Edinburg, TX | $13.09M |
| Tropical Texas Behavioral Health | Edinburg, TX | $5.53M |
| Tropical Texas Behavioral Health | Edinburg, TX | $514K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.