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REGION IV AREA AGENCY ON AGING, INC

Case Management·SAINT JOSEPH, MI·NPI: 1366524985Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.3M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$36.3M

$36,332,590

Total Claims

64K

Beneficiaries

63K

1.0 claims/patient

Avg Cost/Claim

$568

Monthly Spending Trend

Yearly Spending

2018
$3.4M
+13%
2019
$3.8M
+17%
2020
$4.5M
+34%
2021
$6.0M
+5%
2022
$6.3M
+5%
2023
$6.6M
-12%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 81% of total spending.

T2022Top 5%

Case management, per month

$29.5M

46K claims · 81.3%

Your Cost: $636.68/claim|Median: $202.77
3.1× median
T1019Top 5%

Personal care services, per 15 min

$4.3M

3,900 claims · 11.8%

Your Cost: $1,098.04/claim|Median: $82.47
13.3× median
S5121Top 25%

Attendant care services, in-home, per 15 min

$1.7M

2,509 claims · 4.7%

Your Cost: $674.73/claim|Median: $111.06
6.1× median
S5170Top 5%

Homemaker service, NOS, per diem

$541K

2,207 claims · 1.5%

Your Cost: $245.10/claim|Median: $19.89
12.3× median
S5161Normal range

Emergency response system, per month

$202K

7,987 claims · 0.6%

Your Cost: $25.33/claim|Median: $29.97
0.8× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$64K

951 claims · 0.2%

Your Cost: $66.95/claim|Median: $89.79
0.7× median
T2038Normal range

Community transition, waiver; per service

$12K

25 claims · 0.0%

Your Cost: $486.54/claim|Median: $531.12
0.9× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$2K

12 claims · 0.0%

Your Cost: $200.00/claim|Median: $106.70
1.9× median
S5199Top 5%

Personal care item, NOS, each

$2K

12 claims · 0.0%

Your Cost: $143.53/claim|Median: $10.82
13.3× median