Agency
New Approach TCM Services
New Approach TCM Services was paid $7.52M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 79% of everything it billed.
33Billing provider infoNEW APPROACH TCM SERVICES
DORAL, FL 33126
DORAL, FL 33126
33aNPI1972959799assigned 05/11/2016
33bProvider typeCase Management Agency
28Total paid$7.52M
24GClaims122,165
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Florida
Rank by total paid#36 of 357
Median peer was paid$839K
This provider vs. median9.0×
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 20,490 | $1.04M | |
| 2019 | 28,727 | $1.95M | |
| 2020 | 38,455 | $2.19M | |
| 2021 | 23,237 | $1.73M | |
| 2022 | 940 | $46K | |
| 2023 | 4,464 | $239K | |
| 2024incomplete | 5,852 | $316K |
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 | 79% | 109,984 | 11,092 | $5.95M |
| H2014 | Skills training and development, per 15 minutes | 10% | 4,234 | 213 | $773K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 8.1% | 7,018 | 516 | $609K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.4% | 827 | 169 | $181K |
| H0032 | Mental health service plan development by non-physician | <1% | 46 | 44 | $3K |
| H0031 | Mental health assessment, by non-physician | <1% | 56 | 28 | $2K |
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 officialFRIAS ESPINOSA, JORGE (CEO)
| Provider | Location | Paid |
|---|---|---|
| New Approach TCM Services | Doral, FL | $100K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.