Agency
TCM Quality Services,inc
TCM Quality Services,inc was paid $9.67M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 73% of everything it billed.
33Billing provider infoTCM QUALITY SERVICES,INC
CAPE CORAL, FL 33904
CAPE CORAL, FL 33904
33aNPI1609326727assigned 10/12/2016
33bProvider typeCase Management Agency
28Total paid$9.67M
24GClaims164,184
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Florida
Rank by total paid#29 of 357
Median peer was paid$839K
This provider vs. median12×
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 | 16,693 | $598K | |
| 2019 | 17,702 | $950K | |
| 2020 | 27,477 | $1.03M | |
| 2021 | 24,699 | $1.14M | |
| 2022 | 8,906 | $605K | |
| 2023 | 25,964 | $1.44M | |
| 2024incomplete | 42,743 | $3.91M |
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 | 73% | 145,453 | 11,282 | $7.11M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 26% | 17,953 | 1,575 | $2.52M |
| H0032 | Mental health service plan development by non-physician | <1% | 255 | 249 | $26K |
| H0031 | Mental health assessment, by non-physician | <1% | 523 | 257 | $14K |
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 officialMARTINEZ, EDUARDO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Eduardo G Martinez MD PA | Hialeah, FL | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.