Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Florida (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Tcm Quality Services,inc (NPI 1609326727)

Field	Value
Entity Type	Organization
Organization	Tcm Quality Services,inc
Address	871 Se 47th St
City	Cape Coral
State	FL
ZIP	33904
Taxonomy	Case Management Agency
NPI Enumerated	October 12, 2016

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	145,450	$50	$7.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	17,950	$140	$2.5M
H0032	Mental health service plan development by non-physician	260	$100	$26K
H0031	Mental health assessment, by non-physician	520	$30	$14.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Tcm Quality Services,inc — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	20	560	7,680	$50	$1.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	227	980	4,890	$100	$1.3M
H0032	Mental health service plan development by non-physician	398	1,130	110	$60	$91.7K
H0031	Mental health assessment, by non-physician	373	1,160	210	$40	$87.3K

Nearby Providers

Other providers in the same ZIP code as Tcm Quality Services,inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunset Home Health Services Inc.	FL	Home Health Agency	$0	$22M
Lovin Care Home Health Inc	FL	Home Health Agency	$0	$7.2M
Cape Coral Eye Center, P.A.	FL	Ophthalmologic Surgery Clinic/Center	$1.2M	$0
Cape Coral Ambulatory Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$796.6K	$0
John Stephens	FL	Ophthalmology Physician	$443K	$0
Bradley Trope	FL	Gastroenterology Physician	$340.2K	$0
Barbara Pyatt	FL	Occupational Therapist	$193.6K	$0
Stuart Kaplan	FL	Optometrist	$141.8K	$0
John Patrick	FL	Anesthesiology Physician	$133.3K	$0
Antoine Soueid	FL	Cardiovascular Disease Physician	$93.7K	$0

Tcm Quality Services,inc — Billing Profile & Reimbursement Data

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Tcm Quality Services,inc — Billing Profile & Reimbursement Data

Sign up for Tcm Quality Services,inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References