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BAYPATH ELDER SERVICES, INC

Case Management·MARLBOROUGH, MA·NPI: 1407974819Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.7M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2023-02(62 months)
Billing appears to have stoppedLast active: 2023-02

Total Paid

$49.7M

$49,728,838

Total Claims

655K

Beneficiaries

99K

6.6 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$8.5M
+15%
2019
$9.8M
-5%
2020
$9.2M
+5%
2021
$9.7M
+9%
2022
$10.6M
-82%
2023
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (G0156 (Home health aide services, per visit)) accounts for 27% of total spending.

G0156Top 1%

Home health aide services, per visit

$13.5M

9,187 claims · 27.1%

Your Cost: $1,465.21/claim|Median: $39.42
37.2× median
S5130Normal range

Homemaker service, NOS; per 15 min

$11.5M

131K claims · 23.0%

Your Cost: $87.24/claim|Median: $48.76
1.8× median
T1019Normal range

Personal care services, per 15 min

$8.9M

111K claims · 17.9%

Your Cost: $80.00/claim|Median: $82.47
1.0× median
S5102Normal range

Day care services, adult; per 15 min

$7.3M

92K claims · 14.6%

Your Cost: $79.35/claim|Median: $81.10
1.0× median
T2003Top 25%

Non-emergency transport; encounter/trip

$3.4M

79K claims · 6.9%

Your Cost: $43.48/claim|Median: $21.70
2.0× median
S5170Normal range

Homemaker service, NOS, per diem

$2.2M

121K claims · 4.5%

Your Cost: $18.44/claim|Median: $19.89
0.9× median
S5135Top 5%

Companion care, adult, per diem

$588K

1,669 claims · 1.2%

Your Cost: $352.54/claim|Median: $52.25
6.7× median
S5161Normal range

Emergency response system, per month

$577K

23K claims · 1.2%

Your Cost: $25.61/claim|Median: $29.97
0.9× median
S5175Normal range

Laundry service, per occasion

$441K

17K claims · 0.9%

Your Cost: $26.70/claim|Median: $30.40
0.9× median
G0299Top 10%

Skilled nursing services, home health, per visit, RN

$381K

2,670 claims · 0.8%

Your Cost: $142.80/claim|Median: $51.67
2.8× median
S5101Normal range

Day care services, adult, per half day

$360K

7,988 claims · 0.7%

Your Cost: $45.09/claim|Median: $66.43
0.7× median
T2022Normal range

Case management, per month

$162K

3,015 claims · 0.3%

Your Cost: $53.79/claim|Median: $202.77
0.3× median
T1013Top 1%

Sign language or oral interpretive services, per 15 minutes

$159K

908 claims · 0.3%

Your Cost: $174.98/claim|Median: $17.67
9.9× median
T1020Normal range

Personal care services, per diem

$144K

54K claims · 0.3%

Your Cost: $2.65/claim|Median: $296.27
0.0× median
A9279Top 25%

$53K

1,127 claims · 0.1%

Your Cost: $46.99/claim|Median: $10.45
4.5× median
S5120Normal range

Chore services, per 15 min

$39K

372 claims · 0.1%

Your Cost: $104.41/claim|Median: $70.19
1.5× median
S5131Top 25%

Homemaker service, NOS, per diem

$28K

41 claims · 0.1%

Your Cost: $684.70/claim|Median: $102.01
6.7× median
A0100Top 1%

Non-emergency transportation; per trip

$27K

70 claims · 0.1%

Your Cost: $380.14/claim|Median: $24.72
15.4× median
S5165Normal range

Home modifications, per service

$5K

41 claims · 0.0%

Your Cost: $126.58/claim|Median: $2,196.32
0.1× median
G9001Normal range

$5K

74 claims · 0.0%

Your Cost: $65.00/claim|Median: $53.98
1.2× median
99340Normal range

$2K

200 claims · 0.0%

Your Cost: $9.00/claim|Median: $163.40
0.1× median
A0425Normal range

Ground mileage, per statute mile

$1K

60 claims · 0.0%

Your Cost: $23.42/claim|Median: $23.36
1.0× median
99339Normal range

$800

40 claims · 0.0%

Your Cost: $20.00/claim|Median: $37.37
0.5× median
G9002Normal range

Coordinated care fee, maintenance period

$87

73 claims · 0.0%

Your Cost: $1.19/claim|Median: $108.80
0.0× median

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