Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

TRICOUNTY CARE MANAGEMENT ORGANIZATION

Case Management·BRANCHBURG, NJ·NPI: 1124159363Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.5M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-11(83 months)

Extreme procedure concentration — 100% of $49.5M billed through a single code

Total Paid

$49.5M

$49,498,965

Total Claims

55K

Beneficiaries

55K

1.0 claims/patient

Avg Cost/Claim

$902

Monthly Spending Trend

Yearly Spending

2018
$4.9M
-3%
2019
$4.8M
+8%
2020
$5.2M
+28%
2021
$6.6M
+24%
2022
$8.2M
+22%
2023
$10.1M
-4%
2024
$9.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 1 distinct procedure code. The top code (T2023 (Community transition, waiver; per service)) accounts for 100% of total spending.

T2023Top 10%

Community transition, waiver; per service

$49.5M

55K claims · 100.0%

Your Cost: $902.44/claim|Median: $300.13
3.0× median