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SERVICE ACCESS AND MANAGEMENT INC

Case Management·READING, PA·NPI: 1114047966Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.5M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$36.5M

$36,523,163

Total Claims

380K

Beneficiaries

119K

3.2 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$4.8M
-0%
2019
$4.7M
+17%
2020
$5.5M
-2%
2021
$5.4M
+1%
2022
$5.5M
+0%
2023
$5.5M
-6%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 72% of total spending.

W7210Top 25%

Waiver service, state-specific code

$26.3M

273K claims · 71.9%

Your Cost: $96.11/claim|Median: $80.31
1.2× median
T1017Normal range

Targeted case management, per 15 min

$8.0M

86K claims · 21.8%

Your Cost: $93.27/claim|Median: $69.56
1.3× median
T1016Top 25%

Case management, each 15 min

$1.6M

16K claims · 4.4%

Your Cost: $100.32/claim|Median: $49.62
2.0× median
W0016Top 1%

$670K

5,613 claims · 1.8%

Your Cost: $119.38/claim|Median: $72.46
1.6× median