Jacob's Heart Children's Cancer Support Services
Total Paid
$444K
$443,777
Total Claims
6K
Beneficiaries
2K
3.1 claims/patient
Avg Cost/Claim
$80
🔍 Analysis
Provider Overview
Jacob's Heart Children's Cancer Support Services is a Private Vehicle provider based in Watsonville, CA. From 2022-09 through 2024-11, this provider received $444K in Medicaid payments across 6K claims serving 2K beneficiaries, billing 5 distinct procedure codes.
Key Findings
- 📊Bills 3.4× the national median for A0390 (A0390), at $157 per claim vs. the median of $46. This places them well above the 99th percentile nationally.
- 📊85% of billing is concentrated in A0390 (A0390), indicating significant specialization in this service.
- 📊Spending more than doubled from $51K in 2022 to $206K in 2024 (305% growth).
- 📊Saw a 3.7× spike in 2023 ($51K → $187K), a sharp year-over-year increase.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (A0390 (ALS mileage, per mile)) accounts for 85% of total spending.
ALS mileage, per mile
$378K
2K claims · 85.1%
Non-emergency mini-bus transport
$44K
2K claims · 9.8%
$15K
580 claims
$26.41
$137.85
Other specified case management service, per 15 minutes
$15K
580 claims · 3.5%
$6K
99 claims · 1.3%
$1K
41 claims · 0.3%
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