Potomac Case Management Services, INC.

Potomac Case Management Services, INC. was paid $556K by Medicaid between Mar 2022 and Dec 2024, across 3 billing codes. Its largest line is T1016, Case management, each 15 minutes — 81% of everything it billed.

33Billing provider infoPOTOMAC CASE MANAGEMENT SERVICES, INC.
CUMBERLAND, MD 21502

33aNPI1699380154assigned 09/11/2020

33bProvider typeCase Management Agency

28Total paid$556K

24GClaims3,848

24DCodes billed3

24AFirst – last monthMar 2022 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Maryland

Rank by total paid#44 of 84

Median peer was paid$568K

This provider vs. median1.0×

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
2022	727	$40K
2023	1,005	$154K
2024incomplete	2,116	$363K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1016	Case management, each 15 minutes	81%	2,831	1,049	$448K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	16%	898	326	$88K
H0031	Mental health assessment, by non-physician	3.5%	119	118	$20K

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 officialJOHNS, BROOKE (SYSTEMS MANAGER)