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INSTITUTE ON AGING

Case Management·SAN FRANCISCO, CA·NPI: 1255730222Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.8M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-11(50 months)

Total Paid

$22.8M

$22,823,262

Total Claims

63K

Beneficiaries

36K

1.8 claims/patient

Avg Cost/Claim

$361

Monthly Spending Trend

Yearly Spending

2018
$130K
-89%
2019
$14K
+42093%
2022
$5.9M
+33%
2023
$7.8M
+16%
2024
$9.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 68% of total spending.

H2022Top 10%

Community-based wrap-around services, per diem

$15.5M

4,698 claims · 68.0%

Your Cost: $3,301.82/claim|Median: $336.31
9.8× median
G9012Normal range

Other specified case management service, per 15 minutes

$3.4M

41K claims · 14.8%

Your Cost: $82.88/claim|Median: $137.85
0.6× median
T2038Normal range

Community transition, waiver; per service

$2.4M

9,518 claims · 10.3%

Your Cost: $248.03/claim|Median: $531.12
0.5× median
G9008Normal range

Coordination of long-term care services, per month

$662K

5,259 claims · 2.9%

Your Cost: $125.81/claim|Median: $66.78
1.9× median
H2016Normal range

Comprehensive community support services, per 15 min

$365K

493 claims · 1.6%

Your Cost: $740.00/claim|Median: $321.53
2.3× median
H0043Top 25%

Supported housing, per diem

$273K

435 claims · 1.2%

Your Cost: $626.61/claim|Median: $164.87
3.8× median
T2051Top 25%

$204K

423 claims · 0.9%

Your Cost: $482.52/claim|Median: $475.00
1.0× median
G9002Top 5%

Coordinated care fee, maintenance period

$50K

155 claims · 0.2%

Your Cost: $319.48/claim|Median: $108.80
2.9× median
G9007Normal range

$17K

1,375 claims · 0.1%

Your Cost: $12.10/claim|Median: $43.44
0.3× median