Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Complexcare Solutions INC

Complexcare Solutions INC was paid $0.00 by Medicaid between May 2018 and Dec 2023, across 28 billing codes. Its largest line is 1170F, — 0% of everything it billed.

33Billing provider infoCOMPLEXCARE SOLUTIONS INC
NASHVILLE, TN 37214
33aNPI1861780546assigned 07/15/2011
33bProvider typeCase Management Agency
28Total paid$0.00
24GClaims74,868
24DCodes billed28
24AFirst – last monthMay 2018 – Dec 2023
Compared with peers

Next to other Case Management Agency providers in Tennessee

Rank by total paid#23 of 24
Median peer was paid$588K
This provider vs. median0.0×

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
YearClaimsPaid
20181,852$0.00
2019429$0.00
20203,730$0.00
202114,004$0.00
202219,247$0.00
202335,606$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
1170F 0% 7,215 7,042 $0.00
3008F 0% 6,760 6,693 $0.00
1101F 0% 6,508 6,454 $0.00
99344 0% 2,318 2,317 $0.00
99349 0% 880 869 $0.00
1126F 0% 3,148 3,093 $0.00
1000F 0% 7,905 7,782 $0.00
99350 Prolong home eval add 15m 0% 483 477 $0.00
3074F 0% 1,739 1,723 $0.00
1125F 0% 2,161 2,090 $0.00
3075F 0% 543 538 $0.00
3079F 0% 491 482 $0.00
16 more codes
99345 Prolong home eval add 15m 0% 491 $0.00
3351F 0% 307 $0.00
99214 Doctor's office visit, returning patient (more involved) 0% 2,300 $0.00
3352F 0% 498 $0.00
99343 0% 711 $0.00
99341 0% 48 $0.00
99304 0% 58 $0.00
1159F 0% 8,765 $0.00
3016F 0% 6,504 $0.00
99348 0% 1,472 $0.00
1160F 0% 7,994 $0.00
3078F 0% 3,354 $0.00
3077F 0% 323 $0.00
1158F 0% 767 $0.00
99342 0% 745 $0.00
99347 0% 380 $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 officialPICKENS, VERONICA (SENIOR DIRECTOR, COMPLIANCE & DELEG)
Same official

Other billing entities under PICKENS, VERONICA

Full network →
ProviderLocationPaid
Complexcare SolutionsNashville, TN$111.95
Complexcare Solutions Ipa LLCNashville, TN$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.