Behavioral
Potomac Case Management Services, INC.
Potomac Case Management Services, INC. was paid $28.00M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 51% of everything it billed.
33Billing provider infoPOTOMAC CASE MANAGEMENT SERVICES, INC.
HAGERSTOWN, MD 21740
HAGERSTOWN, MD 21740
33aNPI1982749701assigned 02/20/2007
33bProvider typeSocial Worker
28Total paid$28.00M
24GClaims173,673
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Social Worker providers in Maryland
Rank by total paid#1 of 85
Median peer was paid$44K
This provider vs. median636×
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 | 34,815 | $4.14M | |
| 2019 | 31,301 | $4.42M | |
| 2020 | 14,649 | $2.33M | |
| 2021 | 25,616 | $4.16M | |
| 2022 | 21,715 | $3.90M | |
| 2023 | 22,063 | $4.10M | |
| 2024incomplete | 23,514 | $4.96M |
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 | 51% | 71,157 | 22,000 | $14.29M |
| T1016 | Case management, each 15 minutes | 46% | 95,471 | 33,020 | $12.76M |
| H0031 | Mental health assessment, by non-physician | 3.4% | 7,045 | 7,015 | $949K |
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 officialJOHNS, DAWN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Potomac Case Management Services | Westminster, MD | $10.03M |
| Potomac Case Management Services | Frederick, MD | $6.71M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.