Behavioral
MGM Case Management Services
MGM Case Management Services was paid $2.51M by Medicaid between Jan 2018 and Feb 2019, across 4 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 59% of everything it billed.
33Billing provider infoMGM CASE MANAGEMENT SERVICES
MIAMI LAKES, FL 33016
MIAMI LAKES, FL 33016
33aNPI1922391721assigned 05/26/2011
33bProvider typeBehavioral Analyst
28Total paid$2.51M
24GClaims30,687
24DCodes billed4
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Behavioral Analyst providers in Florida
Rank by total paid#74 of 631
Median peer was paid$148K
This provider vs. median17×
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 | 29,101 | $2.40M | |
| 2019 | 1,586 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 59% | 25,029 | 2,868 | $1.47M |
| H2014 | Skills training and development, per 15 minutes | 30% | 3,459 | 249 | $757K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 11% | 2,105 | 705 | $268K |
| H0032 | Mental health service plan development by non-physician | <1% | 94 | 80 | $14K |
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 officialRIVERO, SAIMARY (AUTHORIZED OFFICIAL)