Agency
Professional Case Coordination Services LLC
Professional Case Coordination Services LLC was paid $1.93M by Medicaid between Mar 2020 and Aug 2024, across 2 billing codes. Its largest line is T2022, Case management, per month — 94% of everything it billed.
33Billing provider infoPROFESSIONAL CASE COORDINATION SERVICES LLC
ALBUQUERQUE, NM 87114
ALBUQUERQUE, NM 87114
33aNPI1982149043assigned 12/28/2016
33bProvider typeCase Management Agency
28Total paid$1.93M
24GClaims5,529
24DCodes billed2
24AFirst – last monthMar 2020 – Aug 2024
Compared with peers
Next to other Case Management Agency providers in New Mexico
Rank by total paid#22 of 35
Median peer was paid$2.74M
This provider vs. median0.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration94% of spending on code T2022 with only 2 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2020 | 232 | $71K | |
| 2021 | 707 | $265K | |
| 2022 | 1,400 | $478K | |
| 2023 | 2,059 | $718K | |
| 2024incomplete | 1,131 | $398K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2022 | Case management, per month | 94% | 5,033 | 4,880 | $1.81M |
| T2024 | Service assessment/plan of care development, waiver | 5.9% | 496 | 301 | $114K |
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 officialROMERO, DANIEL (CEO/DIRECTOR)