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    OpenPayerNPI Medicare & MedicaidQuality Support Coordination Inc
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    Quality Support Coordination Inc — Billing Profile & Reimbursement Data

    NPI 1285705020 · Metairie, LA · Case Management Agency

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    Quality Support Coordination Inc is a case management agency provider located in Metairie, Louisiana. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationQuality Support Coordination Inc
    Address3925 N I-10 Service Rd
    CityMetairie
    StateLA
    ZIP70002
    TaxonomyCase Management Agency
    NPI EnumeratedNovember 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$28.2M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in its billing footprint: there is no Medicare revenue on file while lifetime Medicaid revenue totals $28.2M, indicating that the organization’s entire reported federal billing activity is concentrated in Medicaid. Analysts should treat Medicaid reimbursement policy and state program changes as the primary financial drivers for this entity.

    Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top three codes account for 94.2% of the provider’s total Medicaid revenue. Specifically, T2023 accounts for $12.1M (42.7%), Z0637 accounts for $11.9M (42.3%), and T2022 accounts for $2.6M (9.2%), which together dominate the revenue mix and leave limited diversification across other codes.

    The code mix and descriptions indicate a core business of case management services: T2023 (Targeted case management; per month), T2022 (Case management, per month), and T1016 (Case management, each 15 minutes) are all primary revenue drivers, consistent with a recurring, enrollment-based care coordination operation. High claim volumes—69.8K claims for T2023, 82.8K claims for Z0637, 19.8K claims for T2022, and 8.5K claims for T1016—combined with average paid/claim levels ($173, $144, $131, and $152 respectively) point to a volume-driven model where scale, not high per-claim reimbursement, generates most revenue.

    On competitive standing, the provider is a dominant statewide participant for its top codes: T2023 ranks #1 of 73 providers in-state at the 100th percentile and is labeled an extreme outlier, Z0637 ranks #1 of 22 providers in-state at the 100th percentile and is also an extreme outlier, and T2022 ranks #1 of 55 providers in-state at the 100th percentile (notably above typical state volume). T1016 ranks #2 of 29 providers (96th percentile, notably above typical state volume), which together indicate market leadership for case management services in Louisiana.

    The statistical labels attached to key codes underscore the scale of the provider’s specialization: two codes are flagged as extreme outliers and others as notably above typical state volume, signaling that this entity operates far above typical in-state volumes for targeted and other case management services. These descriptors suggest the provider serves an unusually large caseload or plays a concentrated role in Medicaid case management workflows compared with peers.

    Operationally, the dominance of monthly case management codes (T2023 and T2022) along with time-based code T1016 implies recurring, continuous service delivery rather than one-time interventions, which favors predictable monthly revenue flows but creates sensitivity to membership churn and authorization changes. Average paid/claim levels ($173 for T2023, $144 for Z0637, $131 for T2022, $152 for T1016) indicate modest per-claim reimbursements, reinforcing that scale is the primary revenue lever.

    The provider’s NPI has been enumerated since 2006-11-13 (~20 years ago), indicating long tenure in the market. Combined with the concentrated, high-volume Medicaid billing pattern and top statewide rankings, this tenure supports an interpretation of an established, specialized case management operator rather than a recent market entrant.

    Because the provider reports no Medicare activity, its financial exposure is concentrated in Medicaid: state-level policy, code definitions, or reimbursement changes for targeted and other case management services could materially affect revenue. Given that the top three codes produce 94.2% of Medicaid revenue, changes affecting any of those specific codes would have outsized impact on the provider’s overall Medicaid receipts.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2023Targeted case management; per month69,760$170$12.1M
    Z0637N/A82,850$140$11.9M
    T2022Case management, per month19,810$130$2.6M
    T1016Case management, each 15 minutes8,470$150$1.3M
    Z0309N/A2,880$120$354.6K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Louisiana median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Z0637N/A12018,940$150$3.1M
    T2023Targeted case management; per month1701,890$170$1.2M
    T2022Case management, per month1605,320$170$1M
    T1016Case management, each 15 minutes2302,450$140$429.4K
    Z0309N/A7202,350$140$296K

    Nearby Providers

    Other providers in the same ZIP code as Quality Support Coordination Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Preservation Services Of Florida, LLCLACommunity/Behavioral Health Agency$0$21M
    Access Respiratory Homecare LLCLAOxygen Equipment & Supplies (DME)$0$18.4M
    Pediatric Services Of America, LLCLANursing Care Agency$0$14.7M
    Ssm Group Practice LLCLASleep Medicine (Family Medicine) Physician$0$12.9M
    Egan Nursing Services, Inc.LADurable Medical Equipment & Medical Supplies$0$9.2M
    Desire Care, LLCLAHome Health Agency$0$6.5M
    Afnb Home Care LLCLAIn Home Supportive Care Agency$0$6.4M
    Destined For Options LLCLACommunity/Behavioral Health Agency$0$5.1M
    Mcleod And AssociatesLAOxygen Equipment & Supplies (DME)$0$5.1M
    Egan Healthcare Of Plaquemines Inc.LAHome Health Agency$0$5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Louisiana Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Quality Support Coordination Inc — 4 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana