PROFESSIONAL CASE COORDINATION SERVICES LLC
NPI: 1982149043
· ALBUQUERQUE, NM 87114
· Case Management Agency
· NPI assigned 12/28/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code T2022 with only 2 total codes billed. Highly concentrated billing profile.
$1.93M
Total Medicaid Paid
Provider Details
| Authorized Official | ROMERO, DANIEL (CEO/DIRECTOR) |
| NPI Enumeration Date | 12/28/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
232 |
$71K |
| 2021 |
707 |
$265K |
| 2022 |
1,400 |
$478K |
| 2023 |
2,059 |
$718K |
| 2024 |
1,131 |
$398K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2022 |
Case management, per month |
5,033 |
4,880 |
$1.81M |
| T2024 |
Service assessment/plan of care development, waiver |
496 |
301 |
$114K |