Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

WESTMORELAND CASEMANAGEMENT AND SUPPORTS, INC

Case Management·GREENSBURG, PA·NPI: 1366573511Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $34.5M is at the below 25th percentile among 137 Case Management providers.

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

Total Paid

$34.5M

$34,513,715

Total Claims

373K

Beneficiaries

99K

3.8 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$4.5M
+0%
2019
$4.5M
+7%
2020
$4.8M
+5%
2021
$5.0M
+5%
2022
$5.3M
-3%
2023
$5.1M
+3%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 78% of total spending.

W7210Top 25%

Waiver service, state-specific code

$27.0M

289K claims · 78.2%

Your Cost: $93.31/claim|Median: $80.31
1.2× median
T1017Normal range

Targeted case management, per 15 min

$7.5M

83K claims · 21.7%

Your Cost: $89.87/claim|Median: $69.56
1.3× median
T1016Normal range

Case management, each 15 min

$44K

517 claims · 0.1%

Your Cost: $84.48/claim|Median: $49.62
1.7× median
W0016Top 25%

$8K

94 claims · 0.0%

Your Cost: $89.65/claim|Median: $72.46
1.2× median