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ELDER SERVICES OF CAPE COD AND THE ISLANDS

Case Management·SOUTH DENNIS, MA·NPI: 1225159064Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $86.6M is at the 25th percentile among 137 Case Management providers.

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

Total Paid

$86.6M

$86,592,785

Total Claims

509K

Beneficiaries

136K

3.8 claims/patient

Avg Cost/Claim

$170

Monthly Spending Trend

Yearly Spending

2018
$10.3M
+9%
2019
$11.3M
+27%
2020
$14.3M
+18%
2021
$16.8M
+11%
2022
$18.6M
-36%
2023
$12.0M
-72%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (G0156 (Home health aide services, per visit)) accounts for 63% of total spending.

G0156Top 1%

Home health aide services, per visit

$55.0M

31K claims · 63.5%

Your Cost: $1,782.37/claim|Median: $39.42
45.2× median
S5130Normal range

Homemaker service, NOS; per 15 min

$10.1M

128K claims · 11.6%

Your Cost: $78.85/claim|Median: $48.76
1.6× median
T1019Top 25%

Personal care services, per 15 min

$9.4M

42K claims · 10.8%

Your Cost: $223.10/claim|Median: $82.47
2.7× median
S5175Top 25%

Laundry service, per occasion

$4.0M

106K claims · 4.6%

Your Cost: $37.35/claim|Median: $30.40
1.2× median
S5170Normal range

Homemaker service, NOS, per diem

$2.8M

110K claims · 3.3%

Your Cost: $25.56/claim|Median: $19.89
1.3× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$2.0M

20K claims · 2.4%

Your Cost: $101.39/claim|Median: $51.67
2.0× median
S5135Top 25%

Companion care, adult, per diem

$993K

8,659 claims · 1.1%

Your Cost: $114.69/claim|Median: $52.25
2.2× median
S5120Normal range

Chore services, per 15 min

$763K

7,151 claims · 0.9%

Your Cost: $106.65/claim|Median: $70.19
1.5× median
S5161Normal range

Emergency response system, per month

$713K

27K claims · 0.8%

Your Cost: $26.17/claim|Median: $29.97
0.9× median
S5121Normal range

Attendant care services, in-home, per 15 min

$542K

24K claims · 0.6%

Your Cost: $22.80/claim|Median: $111.06
0.2× median
A9279Normal range

$114K

2,622 claims · 0.1%

Your Cost: $43.56/claim|Median: $10.45
4.2× median
S5165Normal range

Home modifications, per service

$88K

789 claims · 0.1%

Your Cost: $111.15/claim|Median: $2,196.32
0.1× median
T2023Normal range

Community transition, waiver; per service

$66K

732 claims · 0.1%

Your Cost: $90.00/claim|Median: $300.13
0.3× median
S5125Top 10%

Attendant care services, per 15 min

$34K

68 claims · 0.0%

Your Cost: $497.21/claim|Median: $82.34
6.0× median
96160Top 1%

Patient-focused health risk assessment

$30K

514 claims · 0.0%

Your Cost: $58.03/claim|Median: $2.10
27.6× median
S5102Top 10%

Day care services, adult; per 15 min

$8K

37 claims · 0.0%

Your Cost: $207.90/claim|Median: $81.10
2.6× median
A0100Top 1%

Non-emergency transportation; per trip

$7K

18 claims · 0.0%

Your Cost: $367.27/claim|Median: $24.72
14.9× median
A9901Normal range

$3K

398 claims · 0.0%

Your Cost: $7.02/claim|Median: $5.31
1.3× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$3K

25 claims · 0.0%

Your Cost: $110.00/claim|Median: $106.70
1.0× median
S5131Normal range

Homemaker service, NOS, per diem

$2K

30 claims · 0.0%

Your Cost: $58.90/claim|Median: $102.01
0.6× median
G9001Top 25%

$1K

14 claims · 0.0%

Your Cost: $100.00/claim|Median: $53.98
1.9× median
S5160Normal range

Emergency response system, per month

$539

14 claims · 0.0%

Your Cost: $38.53/claim|Median: $38.52
1.0× median
G9002Normal range

Coordinated care fee, maintenance period

$7

14 claims · 0.0%

Your Cost: $0.50/claim|Median: $108.80
0.0× median

Other Top Providers in Massachusetts

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Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

Similar Providers

Other top providers in Case Management

Department of Developmental Services

Southbridge, MA

$1.35B

Commonwealth of Massachusets

Beverly, MA

$1.14B

Commonwealth of Mass-dds

Hyde Park, MA

$1.10B

Community Assistance Resources & Extended Services INC

New York, NY

$1.04B

Stavros Center for Independent Living Inc.

Amherst, MA

$1.04B

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