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COASTLINE ELDERLY SERVICES, INC.

Case Management·NEW BEDFORD, MA·NPI: 1174749113Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $83.8M is at the 25th percentile among 137 Case Management providers.

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

Total Paid

$83.8M

$83,773,853

Total Claims

1.3M

Beneficiaries

336K

3.9 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$6.9M
+77%
2019
$12.2M
+27%
2020
$15.5M
-5%
2021
$14.7M
-15%
2022
$12.5M
+3%
2023
$12.8M
-28%
2024
$9.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (G0156 (Home health aide services, per visit)) accounts for 25% of total spending.

G0156Top 5%

Home health aide services, per visit

$21.0M

74K claims · 25.1%

Your Cost: $285.10/claim|Median: $39.42
7.2× median
S5130Normal range

Homemaker service, NOS; per 15 min

$19.8M

291K claims · 23.6%

Your Cost: $67.92/claim|Median: $48.76
1.4× median
T1019Normal range

Personal care services, per 15 min

$12.0M

145K claims · 14.4%

Your Cost: $83.10/claim|Median: $82.47
1.0× median
S5170Normal range

Homemaker service, NOS, per diem

$9.4M

380K claims · 11.3%

Your Cost: $24.87/claim|Median: $19.89
1.3× median
S5175Normal range

Laundry service, per occasion

$5.0M

161K claims · 5.9%

Your Cost: $30.82/claim|Median: $30.40
1.0× median
S5102Top 10%

Day care services, adult; per 15 min

$3.1M

16K claims · 3.7%

Your Cost: $193.25/claim|Median: $81.10
2.4× median
T2022Normal range

Case management, per month

$2.9M

57K claims · 3.5%

Your Cost: $50.99/claim|Median: $202.77
0.3× median
T2003Top 10%

Non-emergency transport; encounter/trip

$2.4M

28K claims · 2.8%

Your Cost: $84.23/claim|Median: $21.70
3.9× median
S5100Top 25%

Day care services, adult, per half day

$2.3M

14K claims · 2.8%

Your Cost: $171.52/claim|Median: $67.58
2.5× median
S5161Normal range

Emergency response system, per month

$1.8M

81K claims · 2.2%

Your Cost: $22.39/claim|Median: $29.97
0.7× median
S5125Top 10%

Attendant care services, per 15 min

$1.2M

3,974 claims · 1.4%

Your Cost: $293.38/claim|Median: $82.34
3.6× median
S5135Normal range

Companion care, adult, per diem

$966K

14K claims · 1.2%

Your Cost: $70.96/claim|Median: $52.25
1.4× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$594K

6,554 claims · 0.7%

Your Cost: $90.58/claim|Median: $51.67
1.8× median
T1020Normal range

Personal care services, per diem

$398K

12K claims · 0.5%

Your Cost: $33.53/claim|Median: $296.27
0.1× median
S5101Normal range

Day care services, adult, per half day

$387K

7,793 claims · 0.5%

Your Cost: $49.71/claim|Median: $66.43
0.7× median
T2023Normal range

Community transition, waiver; per service

$163K

1,938 claims · 0.2%

Your Cost: $84.33/claim|Median: $300.13
0.3× median
A9279Normal range

$96K

2,579 claims · 0.1%

Your Cost: $37.27/claim|Median: $10.45
3.6× median
S5165Normal range

Home modifications, per service

$82K

397 claims · 0.1%

Your Cost: $207.54/claim|Median: $2,196.32
0.1× median
S5120Top 25%

Chore services, per 15 min

$68K

513 claims · 0.1%

Your Cost: $131.73/claim|Median: $70.19
1.9× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$52K

536 claims · 0.1%

Your Cost: $97.03/claim|Median: $106.70
0.9× median
G9001Normal range

$41K

626 claims · 0.0%

Your Cost: $65.00/claim|Median: $53.98
1.2× median
S5160Normal range

Emergency response system, per month

$12K

328 claims · 0.0%

Your Cost: $36.72/claim|Median: $38.52
1.0× median
96160Top 1%

Patient-focused health risk assessment

$880

13 claims · 0.0%

Your Cost: $67.69/claim|Median: $2.10
32.2× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$455

19 claims · 0.0%

Your Cost: $23.95/claim|Median: $17.67
1.4× median

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$1.35B

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$1.14B

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$1.10B

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