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CASE MANAGEMENT INC

Case Management·MEMPHIS, TN·NPI: 1326116476Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.5M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.5M

$22,519,411

Total Claims

340K

Beneficiaries

282K

1.2 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$4.3M
-15%
2019
$3.6M
+1%
2020
$3.6M
-23%
2021
$2.8M
+6%
2022
$3.0M
-1%
2023
$2.9M
-23%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (S0280 (Medical home program, comprehensive care management)) accounts for 74% of total spending.

S0280Top 25%

Medical home program, comprehensive care management

$16.6M

104K claims · 73.9%

Your Cost: $159.96/claim|Median: $48.38
3.3× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$2.3M

76K claims · 10.4%

Your Cost: $30.82/claim|Median: $37.81
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.4M

21K claims · 6.4%

Your Cost: $68.76/claim|Median: $108.91
0.6× median
H0043Top 10%

Supported housing, per diem

$1.3M

889 claims · 5.6%

Your Cost: $1,411.51/claim|Median: $164.87
8.6× median
90837Normal range

Psychotherapy, 60 minutes

$318K

4,097 claims · 1.4%

Your Cost: $77.69/claim|Median: $85.66
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$229K

4,415 claims · 1.0%

Your Cost: $51.82/claim|Median: $99.21
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$144K

3,202 claims · 0.6%

Your Cost: $45.09/claim|Median: $74.09
0.6× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$76K

1,703 claims · 0.3%

Your Cost: $44.86/claim|Median: $53.41
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$18K

446 claims · 0.1%

Your Cost: $39.58/claim|Median: $39.70
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$17K

10K claims · 0.1%

Your Cost: $1.65/claim|Median: $9.56
0.2× median
90853Normal range

Group psychotherapy

$13K

1,006 claims · 0.1%

Your Cost: $12.51/claim|Median: $25.02
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$6K

190 claims · 0.0%

Your Cost: $31.00/claim|Median: $25.06
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$5K

181 claims · 0.0%

Your Cost: $26.03/claim|Median: $41.28
0.6× median
99211Top 10%

Office/outpatient visit, minimal complexity

$4K

86 claims · 0.0%

Your Cost: $42.44/claim|Median: $12.93
3.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$2K

34 claims · 0.0%

Your Cost: $54.90/claim|Median: $77.33
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$515

13 claims · 0.0%

Your Cost: $39.60/claim|Median: $63.65
0.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$116

12 claims · 0.0%

Your Cost: $9.64/claim|Median: $22.44
0.4× median
3008FNormal range

$70

911 claims · 0.0%

Your Cost: $0.08/claim|Median: $0.06
1.3× median
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$61

59K claims · 0.0%

Your Cost: $0.00/claim|Median: $47.08
0.0× median
G9004Normal range

$31

40K claims · 0.0%

Your Cost: $0.00/claim|Median: $55.49
0.0× median
G9010Normal range

$14

6,655 claims · 0.0%

Your Cost: $0.00/claim|Median: $1,009.60
0.0× median
G9011Normal range

$4

4,773 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.92
0.0× median
G9006Normal range

Coordination of long-term care services, per hour

$4

1,640 claims · 0.0%

Your Cost: $0.00/claim|Median: $204.93
0.0× median
G9007Normal range

$0

668 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44

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$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

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$1.45B

Tennessee Department of Children's Services

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$781.0M

Youth Villages Inc.

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$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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$1.35B

Commonwealth of Massachusets

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$1.14B

Commonwealth of Mass-dds

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$1.10B

Community Assistance Resources & Extended Services INC

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$1.04B

Stavros Center for Independent Living Inc.

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$1.04B

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