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

DAKOTA COUNTY

Case Management·SAINT PAUL, MN·NPI: 1427127620Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $74.5M is at the 25th percentile among 137 Case Management providers.

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

Total Paid

$74.5M

$74,543,995

Total Claims

494K

Beneficiaries

248K

2.0 claims/patient

Avg Cost/Claim

$151

Monthly Spending Trend

Yearly Spending

2018
$8.3M
-3%
2019
$8.1M
+1%
2020
$8.1M
+22%
2021
$10.0M
+26%
2022
$12.6M
+11%
2023
$14.0M
-4%
2024
$13.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T2023 (Community transition, waiver; per service)) accounts for 48% of total spending.

T2023Top 10%

Community transition, waiver; per service

$35.5M

41K claims · 47.7%

Your Cost: $875.83/claim|Median: $300.13
2.9× median
T2003Top 5%

Non-emergency transport; encounter/trip

$19.7M

78K claims · 26.4%

Your Cost: $251.07/claim|Median: $21.70
11.6× median
T1016Normal range

Case management, each 15 min

$17.0M

350K claims · 22.8%

Your Cost: $48.64/claim|Median: $49.62
1.0× median
S5120Normal range

Chore services, per 15 min

$970K

10K claims · 1.3%

Your Cost: $94.11/claim|Median: $70.19
1.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$439K

4,333 claims · 0.6%

Your Cost: $101.31/claim|Median: $215.80
0.5× median
X5621Normal range

$376K

2,493 claims · 0.5%

Your Cost: $150.95/claim|Median: $148.81
1.0× median
T2025Normal range

Waiver services, NOS; per 15 min

$240K

4,200 claims · 0.3%

Your Cost: $57.11/claim|Median: $124.39
0.5× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$157K

2,845 claims · 0.2%

Your Cost: $55.33/claim|Median: $162.29
0.3× median
H0031Normal range

Mental health assessment by non-physician

$35K

310 claims · 0.0%

Your Cost: $111.63/claim|Median: $96.18
1.2× median
S5130Top 25%

Homemaker service, NOS; per 15 min

$22K

130 claims · 0.0%

Your Cost: $169.39/claim|Median: $48.76
3.5× median
T1013Top 25%

Sign language or oral interpretive services, per 15 minutes

$19K

387 claims · 0.0%

Your Cost: $48.57/claim|Median: $17.67
2.7× median
T1017Normal range

Targeted case management, per 15 min

$10K

213 claims · 0.0%

Your Cost: $45.54/claim|Median: $69.56
0.7× median
T2011Normal range

$7K

90 claims · 0.0%

Your Cost: $75.74/claim|Median: $122.73
0.6× median