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WESTMASS ELDERCARE

Voluntary or Charitable·HOLYOKE, MA·NPI: 1013041805Share

Compared to Voluntary or Charitable Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.0M is at the below 25th percentile among 13 Voluntary or Charitable providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$39.0M

$39,000,040

Total Claims

442K

Beneficiaries

135K

3.3 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$5.4M
+33%
2019
$7.1M
-13%
2020
$6.2M
-8%
2021
$5.7M
+1%
2022
$5.8M
-5%
2023
$5.5M
-40%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (S5140 (Foster care, adult; per diem)) accounts for 31% of total spending.

S5140Top 25%

Foster care, adult; per diem

$11.9M

16K claims · 30.6%

Your Cost: $746.10/claim|Median: $252.32
3.0× median
S5130Top 25%

Homemaker service, NOS; per 15 min

$8.2M

62K claims · 20.9%

Your Cost: $132.02/claim|Median: $48.76
2.7× median
S5170Normal range

Homemaker service, NOS, per diem

$4.3M

175K claims · 11.0%

Your Cost: $24.44/claim|Median: $19.89
1.2× median
T1019Normal range

Personal care services, per 15 min

$4.0M

49K claims · 10.3%

Your Cost: $82.41/claim|Median: $82.47
1.0× median
G0156Top 5%

Home health aide services, per visit

$3.1M

7,332 claims · 8.0%

Your Cost: $428.11/claim|Median: $39.42
10.9× median
T2022Normal range

Case management, per month

$3.0M

57K claims · 7.8%

Your Cost: $53.38/claim|Median: $202.77
0.3× median
S5135Top 25%

Companion care, adult, per diem

$2.5M

14K claims · 6.4%

Your Cost: $173.31/claim|Median: $52.25
3.3× median
S5161Normal range

Emergency response system, per month

$482K

19K claims · 1.2%

Your Cost: $25.42/claim|Median: $29.97
0.8× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$283K

2,541 claims · 0.7%

Your Cost: $111.29/claim|Median: $106.70
1.0× median
S5175Top 25%

Laundry service, per occasion

$201K

5,718 claims · 0.5%

Your Cost: $35.17/claim|Median: $30.40
1.2× median
T2003Top 10%

Non-emergency transport; encounter/trip

$185K

2,274 claims · 0.5%

Your Cost: $81.46/claim|Median: $21.70
3.8× median
H0046Normal range

Mental health services, not otherwise specified

$184K

9,664 claims · 0.5%

Your Cost: $19.03/claim|Median: $85.02
0.2× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$175K

1,987 claims · 0.4%

Your Cost: $88.32/claim|Median: $51.67
1.7× median
99456Normal range

$162K

1,179 claims · 0.4%

Your Cost: $137.45/claim|Median: $151.24
0.9× median
S5102Normal range

Day care services, adult; per 15 min

$117K

2,004 claims · 0.3%

Your Cost: $58.57/claim|Median: $81.10
0.7× median
S0280Normal range

Medical home program, comprehensive care management

$40K

265 claims · 0.1%

Your Cost: $149.43/claim|Median: $48.38
3.1× median
S5100Normal range

Day care services, adult, per half day

$36K

715 claims · 0.1%

Your Cost: $50.20/claim|Median: $67.58
0.7× median
S5165Normal range

Home modifications, per service

$34K

79 claims · 0.1%

Your Cost: $434.98/claim|Median: $2,196.32
0.2× median
T1020Normal range

Personal care services, per diem

$26K

16K claims · 0.1%

Your Cost: $1.66/claim|Median: $296.27
0.0× median
S5120Normal range

Chore services, per 15 min

$7K

171 claims · 0.0%

Your Cost: $42.46/claim|Median: $70.19
0.6× median
S5101Normal range

Day care services, adult, per half day

$5K

116 claims · 0.0%

Your Cost: $44.75/claim|Median: $66.43
0.7× median
S5160Normal range

Emergency response system, per month

$2K

42 claims · 0.0%

Your Cost: $39.81/claim|Median: $38.52
1.0× median

Other Top Providers in Massachusetts

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Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

Similar Providers

Other top providers in Voluntary or Charitable

Tempus Unlimited, Inc.

Stoughton, MA

$5.57B

Tempus Unlimited, Inc.

Stoughton, MA

$554.9M

X-treme Home Care, Inc.

Bayside, NY

$533.7M

Tempus Unlimited, Inc.

Stoughton, MA

$290.8M

Rise INC

Boise, ID

$263.8M

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