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ROCKY MOUNTAIN HUMAN SERVICES

Case Management·DENVER, CO·NPI: 1225159502Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.5M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012020-01(25 months)
Billing appears to have stoppedLast active: 2020-01

Total Paid

$23.5M

$23,537,716

Total Claims

61K

Beneficiaries

52K

1.2 claims/patient

Avg Cost/Claim

$384

Monthly Spending Trend

Yearly Spending

2018
$12.4M
-10%
2019
$11.2M
-100%
2020
$2K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 47% of total spending.

T2016Top 10%

Habilitation, residential, waiver; per diem

$11.0M

2,614 claims · 46.6%

Your Cost: $4,199.63/claim|Median: $331.94
12.7× median
T1017Top 25%

Targeted case management, per 15 min

$4.8M

31K claims · 20.6%

Your Cost: $158.82/claim|Median: $69.56
2.3× median
T2003Top 5%

Non-emergency transport; encounter/trip

$3.2M

13K claims · 13.7%

Your Cost: $251.19/claim|Median: $21.70
11.6× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$1.5M

2,200 claims · 6.3%

Your Cost: $673.93/claim|Median: $150.51
4.5× median
T1019Top 5%

Personal care services, per 15 min

$865K

1,312 claims · 3.7%

Your Cost: $659.16/claim|Median: $82.47
8.0× median
T2019Top 5%

Habilitation, prevocational, waiver; per 15 min

$566K

786 claims · 2.4%

Your Cost: $719.50/claim|Median: $88.91
8.1× median
S5130Top 5%

Homemaker service, NOS; per 15 min

$538K

1,121 claims · 2.3%

Your Cost: $479.78/claim|Median: $48.76
9.8× median
S5150Normal range

Unskilled respite care, per 15 min

$283K

3,310 claims · 1.2%

Your Cost: $85.36/claim|Median: $84.46
1.0× median
V2799Top 1%

$220K

537 claims · 0.9%

Your Cost: $409.45/claim|Median: $8.94
45.8× median
T2028Normal range

Specialized supply, NOS; per unit

$173K

2,623 claims · 0.7%

Your Cost: $66.08/claim|Median: $79.30
0.8× median
T2004Top 25%

Non-emergency transportation, commercial carrier, encounter trip

$166K

1,848 claims · 0.7%

Your Cost: $90.05/claim|Median: $8.80
10.2× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$94K

1,076 claims · 0.4%

Your Cost: $87.55/claim|Median: $84.12
1.0× median
S5151Normal range

Unskilled respite care, per diem

$68K

483 claims · 0.3%

Your Cost: $141.06/claim|Median: $249.18
0.6× median
H2021Normal range

Community-based wrap-around services, per 15 min

$29K

99 claims · 0.1%

Your Cost: $294.09/claim|Median: $169.11
1.7× median