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VALLEY MEDICAL FACILITIES, INC.

Case Management·SEWICKLEY, PA·NPI: 1063538627Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.4M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-09(81 months)

Extreme procedure concentration — 88% of $19.4M billed through just 2 codes

Total Paid

$19.4M

$19,372,955

Total Claims

284K

Beneficiaries

95K

3.0 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-1%
2019
$2.6M
+6%
2020
$2.8M
-0%
2021
$2.8M
+7%
2022
$3.0M
+6%
2023
$3.2M
-25%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 88% of total spending.

W7210Normal range

Waiver service, state-specific code

$17.1M

251K claims · 88.4%

Your Cost: $68.08/claim|Median: $80.31
0.8× median
T1017Normal range

Targeted case management, per 15 min

$2.3M

32K claims · 11.6%

Your Cost: $69.45/claim|Median: $69.56
1.0× median