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MONTACHUSETT HOME CARE CORP

Case Management·LEOMINSTER, MA·NPI: 1295852531Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.4M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$29.4M

$29,368,675

Total Claims

403K

Beneficiaries

118K

3.4 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$3.8M
+17%
2019
$4.5M
-6%
2020
$4.2M
-2%
2021
$4.1M
+3%
2022
$4.2M
+11%
2023
$4.7M
-20%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (S5130 (Homemaker service, NOS; per 15 min)) accounts for 42% of total spending.

S5130Normal range

Homemaker service, NOS; per 15 min

$12.3M

142K claims · 41.9%

Your Cost: $86.75/claim|Median: $48.76
1.8× median
T1019Normal range

Personal care services, per 15 min

$6.1M

84K claims · 20.9%

Your Cost: $72.72/claim|Median: $82.47
0.9× median
S5102Top 10%

Day care services, adult; per 15 min

$2.4M

11K claims · 8.1%

Your Cost: $207.46/claim|Median: $81.10
2.6× median
G0156Top 10%

Home health aide services, per visit

$2.0M

9,364 claims · 6.7%

Your Cost: $208.88/claim|Median: $39.42
5.3× median
S5170Normal range

Homemaker service, NOS, per diem

$1.8M

69K claims · 6.3%

Your Cost: $26.50/claim|Median: $19.89
1.3× median
T2003Top 10%

Non-emergency transport; encounter/trip

$1.5M

10K claims · 5.2%

Your Cost: $145.80/claim|Median: $21.70
6.7× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$1.2M

18K claims · 3.9%

Your Cost: $64.07/claim|Median: $51.67
1.2× median
S5161Normal range

Emergency response system, per month

$828K

36K claims · 2.8%

Your Cost: $23.17/claim|Median: $29.97
0.8× median
S5120Normal range

Chore services, per 15 min

$496K

7,345 claims · 1.7%

Your Cost: $67.51/claim|Median: $70.19
1.0× median
T2022Normal range

Case management, per month

$300K

5,712 claims · 1.0%

Your Cost: $52.44/claim|Median: $202.77
0.3× median
T1020Normal range

Personal care services, per diem

$157K

2,873 claims · 0.5%

Your Cost: $54.61/claim|Median: $296.27
0.2× median
S5125Top 25%

Attendant care services, per 15 min

$91K

635 claims · 0.3%

Your Cost: $142.61/claim|Median: $82.34
1.7× median
A9279Normal range

$83K

2,787 claims · 0.3%

Your Cost: $29.77/claim|Median: $10.45
2.8× median
S5101Normal range

Day care services, adult, per half day

$47K

899 claims · 0.2%

Your Cost: $51.87/claim|Median: $66.43
0.8× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$42K

1,467 claims · 0.1%

Your Cost: $28.74/claim|Median: $17.67
1.6× median
S5165Normal range

Home modifications, per service

$19K

64 claims · 0.1%

Your Cost: $291.54/claim|Median: $2,196.32
0.1× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$14K

139 claims · 0.0%

Your Cost: $98.15/claim|Median: $106.70
0.9× median
G9001Normal range

$12K

176 claims · 0.0%

Your Cost: $65.36/claim|Median: $53.98
1.2× median
96160Top 5%

Patient-focused health risk assessment

$3K

79 claims · 0.0%

Your Cost: $37.97/claim|Median: $2.10
18.1× median
S5160Normal range

Emergency response system, per month

$886

25 claims · 0.0%

Your Cost: $35.45/claim|Median: $38.52
0.9× median
G9002Normal range

Coordinated care fee, maintenance period

$872

249 claims · 0.0%

Your Cost: $3.50/claim|Median: $108.80
0.0× median

Other Top Providers in Massachusetts

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$5.57B

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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.

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$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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