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

Madison Leffingwell

Case Manager/Care Coordinator·Wheelersburg, OH·NPI: 1194228585Share

Compared to Case Manager/Care Coordinator Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $60K is at the below 25th percentile among 16 Case Manager/Care Coordinator providers.

Total Paid

$60K

$59,934

Total Claims

846

Beneficiaries

376

2.3 claims/patient

Avg Cost/Claim

$71

🔍 Analysis

Provider Overview

Madison Leffingwell is a Case Manager/Care Coordinator provider based in Wheelersburg, OH. From 2024-03 through 2024-07, this provider received $60K in Medicaid payments across 846 claims serving 376 beneficiaries, billing 2 distinct procedure codes.

Key Findings

  • 📊93% of all billing comes from a single procedure code: H0036 (H0036). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (H0036 (Community psychiatric supportive treatment, per 15 min)) accounts for 93% of total spending.

H0036Normal range

Community psychiatric supportive treatment, per 15 min

$56K

750 claims · 93.2%

Your Cost: $74.46/claim|Median: $76.05
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$4K

96 claims · 6.8%

Your Cost: $42.58/claim|Median: $84.12
0.5× median