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BRISTOL ELDER SERVICES, INC.

Case Management·FALL RIVER, MA·NPI: 1255468963Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $50.9M is at the 25th percentile among 137 Case Management providers.

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

Total Paid

$50.9M

$50,890,567

Total Claims

873K

Beneficiaries

268K

3.3 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+40%
2019
$8.6M
-3%
2020
$8.3M
-14%
2021
$7.2M
-2%
2022
$7.1M
+11%
2023
$7.8M
-27%
2024
$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (S5130 (Homemaker service, NOS; per 15 min)) accounts for 30% of total spending.

S5130Normal range

Homemaker service, NOS; per 15 min

$15.0M

228K claims · 29.5%

Your Cost: $65.88/claim|Median: $48.76
1.4× median
T1019Normal range

Personal care services, per 15 min

$11.1M

135K claims · 21.8%

Your Cost: $82.31/claim|Median: $82.47
1.0× median
G0156Top 25%

Home health aide services, per visit

$8.1M

53K claims · 15.9%

Your Cost: $152.73/claim|Median: $39.42
3.9× median
S5170Normal range

Homemaker service, NOS, per diem

$4.7M

195K claims · 9.2%

Your Cost: $23.97/claim|Median: $19.89
1.2× median
S5175Normal range

Laundry service, per occasion

$2.8M

95K claims · 5.5%

Your Cost: $29.32/claim|Median: $30.40
1.0× median
S5161Normal range

Emergency response system, per month

$1.8M

81K claims · 3.6%

Your Cost: $22.52/claim|Median: $29.97
0.8× median
S5102Top 10%

Day care services, adult; per 15 min

$1.3M

5,673 claims · 2.6%

Your Cost: $233.24/claim|Median: $81.10
2.9× median
T2022Normal range

Case management, per month

$1.3M

24K claims · 2.5%

Your Cost: $54.57/claim|Median: $202.77
0.3× median
T2003Top 10%

Non-emergency transport; encounter/trip

$1.3M

14K claims · 2.5%

Your Cost: $88.35/claim|Median: $21.70
4.1× median
S5100Top 25%

Day care services, adult, per half day

$1.2M

8,234 claims · 2.4%

Your Cost: $148.98/claim|Median: $67.58
2.2× median
S5125Top 25%

Attendant care services, per 15 min

$583K

3,589 claims · 1.1%

Your Cost: $162.32/claim|Median: $82.34
2.0× median
T1020Normal range

Personal care services, per diem

$373K

7,234 claims · 0.7%

Your Cost: $51.53/claim|Median: $296.27
0.2× median
S5135Normal range

Companion care, adult, per diem

$364K

7,476 claims · 0.7%

Your Cost: $48.64/claim|Median: $52.25
0.9× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$310K

3,475 claims · 0.6%

Your Cost: $89.23/claim|Median: $51.67
1.7× median
A9279Normal range

$197K

5,843 claims · 0.4%

Your Cost: $33.77/claim|Median: $10.45
3.2× median
G9001Top 25%

$190K

2,130 claims · 0.4%

Your Cost: $89.41/claim|Median: $53.98
1.7× median
S5165Normal range

Home modifications, per service

$129K

605 claims · 0.3%

Your Cost: $213.56/claim|Median: $2,196.32
0.1× median
T1016Normal range

Case management, each 15 min

$42K

1,111 claims · 0.1%

Your Cost: $37.92/claim|Median: $49.62
0.8× median
96160Top 1%

Patient-focused health risk assessment

$39K

518 claims · 0.1%

Your Cost: $75.84/claim|Median: $2.10
36.1× median
T1502Top 10%

Administration of oral, intramuscular, or subcutaneous medication

$22K

342 claims · 0.0%

Your Cost: $63.04/claim|Median: $7.86
8.0× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$17K

167 claims · 0.0%

Your Cost: $98.91/claim|Median: $106.70
0.9× median
T2023Normal range

Community transition, waiver; per service

$10K

124 claims · 0.0%

Your Cost: $80.00/claim|Median: $300.13
0.3× median
H0046Normal range

Mental health services, not otherwise specified

$9K

401 claims · 0.0%

Your Cost: $22.67/claim|Median: $85.02
0.3× median
S5120Top 25%

Chore services, per 15 min

$4K

27 claims · 0.0%

Your Cost: $154.07/claim|Median: $70.19
2.2× median
S5160Normal range

Emergency response system, per month

$3K

97 claims · 0.0%

Your Cost: $35.15/claim|Median: $38.52
0.9× median
G9002Normal range

Coordinated care fee, maintenance period

$735

1,036 claims · 0.0%

Your Cost: $0.71/claim|Median: $108.80
0.0× median

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Other top providers in Case Management

Department of Developmental Services

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$1.35B

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$1.14B

Commonwealth of Mass-dds

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$1.10B

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$1.04B

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