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PHILADELPHIA HEALTH MANAGEMENT CORP

Case Manager/Care Coordinator·PHILADELPHIA, PA·NPI: 1407994684Share

Compared to Case Manager/Care Coordinator Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.6M is at the 25th percentile among 16 Case Manager/Care Coordinator providers.

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

Extreme procedure concentration — 76% of $28.6M billed through just 2 codes

Total Paid

$28.6M

$28,552,318

Total Claims

377K

Beneficiaries

160K

2.4 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$3.9M
+12%
2019
$4.4M
-5%
2020
$4.2M
+6%
2021
$4.4M
-5%
2022
$4.2M
-12%
2023
$3.7M
+1%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 76% of total spending.

T1016Normal range

Case management, each 15 min

$21.7M

282K claims · 76.0%

Your Cost: $76.87/claim|Median: $49.62
1.5× median
W0016Normal range

$6.8M

94K claims · 24.0%

Your Cost: $72.46/claim|Median: $72.46
1.0× median