QUALITY CARE MANAGEMENT, PLLC
NPI: 1912172008
· ELKINS, WV 26241
· Case Management Agency
· NPI assigned 04/29/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code G9002 with only 1 total codes billed. Highly concentrated billing profile.
$2.79M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,779 |
$197K |
| 2019 |
2,658 |
$212K |
| 2020 |
2,735 |
$218K |
| 2021 |
2,932 |
$300K |
| 2022 |
3,304 |
$445K |
| 2023 |
3,977 |
$723K |
| 2024 |
3,826 |
$691K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
22,211 |
22,105 |
$2.79M |