CHILDREN'S MEDICAL SERVICES
NPI: 1821120742
· SANTA FE, NM 87505
· State or Local Public Health Clinic/Center
· NPI assigned 03/09/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.
$6.04M
Total Medicaid Paid
Provider Details
| Authorized Official | BERNALLY, TISA (MEDICAL SOCIAL WORKER) |
| NPI Enumeration Date | 03/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
786 |
$191K |
| 2019 |
3,270 |
$813K |
| 2020 |
4,380 |
$1.19M |
| 2021 |
4,144 |
$1.11M |
| 2022 |
3,792 |
$1.04M |
| 2023 |
3,349 |
$915K |
| 2024 |
2,898 |
$780K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
22,619 |
22,534 |
$6.04M |