Agency
Tri-County Community Services, INC
Tri-County Community Services, INC was paid $888K by Medicaid between Jan 2018 and Aug 2018, across 19 billing codes. Its largest line is H0039, Assertive community treatment, face-to-face, per 15 minutes — 31% of everything it billed.
33Billing provider infoTRI-COUNTY COMMUNITY SERVICES, INC
TAOS, NM 87571
TAOS, NM 87571
33aNPI1912995242assigned 10/11/2005
33bProvider typeCase Management Agency
28Total paid$888K
24GClaims11,180
24DCodes billed19
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Case Management Agency providers in New Mexico
Rank by total paid#24 of 35
Median peer was paid$2.74M
This provider vs. median0.3×
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 | 11,180 | $888K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 31% | 1,651 | 374 | $278K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 14% | 2,643 | 1,414 | $124K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 12% | 746 | 118 | $109K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 11% | 1,302 | 877 | $98K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 7.3% | 447 | 155 | $64K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 823 | 629 | $36K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.7% | 723 | 661 | $33K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.6% | 485 | 371 | $32K |
| 90863 | 3.1% | 507 | 472 | $27K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.9% | 370 | 320 | $26K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.4% | 625 | 577 | $22K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 1.7% | 132 | 132 | $15K |
7 more codes
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.1% | 120 | $10K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 50 | $5K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 154 | $4K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 25 | $2K |
| 80305 | <1% | 153 | $1K | |
| 90785 | <1% | 205 | $725.33 | |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 19 | $532.65 |
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 officialGROSS, RODNEY (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Noesis Integrative Health INC | Santa Fe, NM | $12.35M |
| Madison Medical Center | Fredericktown, MO | $81K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.