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SOUTH SHORE ELDER SERVICES INC

Case Management·BRAINTREE, MA·NPI: 1427179076Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $60.6M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$60.6M

$60,638,653

Total Claims

826K

Beneficiaries

189K

4.4 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$6.8M
+10%
2019
$7.4M
-7%
2020
$6.9M
+19%
2021
$8.2M
+7%
2022
$8.8M
+35%
2023
$11.8M
-10%
2024
$10.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (S5130 (Homemaker service, NOS; per 15 min)) accounts for 26% of total spending.

S5130Normal range

Homemaker service, NOS; per 15 min

$15.6M

168K claims · 25.7%

Your Cost: $92.70/claim|Median: $48.76
1.9× median
G0156Top 5%

Home health aide services, per visit

$13.1M

26K claims · 21.6%

Your Cost: $509.67/claim|Median: $39.42
12.9× median
T1019Normal range

Personal care services, per 15 min

$11.1M

127K claims · 18.3%

Your Cost: $87.53/claim|Median: $82.47
1.1× median
S5102Top 25%

Day care services, adult; per 15 min

$7.8M

46K claims · 12.9%

Your Cost: $167.80/claim|Median: $81.10
2.1× median
T2003Top 10%

Non-emergency transport; encounter/trip

$4.1M

42K claims · 6.8%

Your Cost: $97.08/claim|Median: $21.70
4.5× median
S5170Normal range

Homemaker service, NOS, per diem

$3.9M

183K claims · 6.5%

Your Cost: $21.39/claim|Median: $19.89
1.1× median
S5161Normal range

Emergency response system, per month

$1.7M

69K claims · 2.9%

Your Cost: $25.13/claim|Median: $29.97
0.8× median
S5175Normal range

Laundry service, per occasion

$1.3M

43K claims · 2.1%

Your Cost: $29.47/claim|Median: $30.40
1.0× median
T1020Normal range

Personal care services, per diem

$566K

95K claims · 0.9%

Your Cost: $5.99/claim|Median: $296.27
0.0× median
S5101Normal range

Day care services, adult, per half day

$320K

3,645 claims · 0.5%

Your Cost: $87.85/claim|Median: $66.43
1.3× median
S5135Normal range

Companion care, adult, per diem

$307K

3,214 claims · 0.5%

Your Cost: $95.57/claim|Median: $52.25
1.8× median
S5165Normal range

Home modifications, per service

$235K

1,639 claims · 0.4%

Your Cost: $143.14/claim|Median: $2,196.32
0.1× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$190K

5,834 claims · 0.3%

Your Cost: $32.50/claim|Median: $17.67
1.8× median
H0046Normal range

Mental health services, not otherwise specified

$127K

8,023 claims · 0.2%

Your Cost: $15.81/claim|Median: $85.02
0.2× median
S0280Normal range

Medical home program, comprehensive care management

$106K

817 claims · 0.2%

Your Cost: $130.16/claim|Median: $48.38
2.7× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$64K

609 claims · 0.1%

Your Cost: $104.59/claim|Median: $106.70
1.0× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$52K

594 claims · 0.1%

Your Cost: $87.99/claim|Median: $51.67
1.7× median
G0175Normal range

$45K

601 claims · 0.1%

Your Cost: $74.76/claim|Median: $51.98
1.4× median
S5160Normal range

Emergency response system, per month

$24K

655 claims · 0.0%

Your Cost: $36.58/claim|Median: $38.52
0.9× median
T2022Normal range

Case management, per month

$24K

471 claims · 0.0%

Your Cost: $50.64/claim|Median: $202.77
0.2× median
S5125Normal range

Attendant care services, per 15 min

$10K

237 claims · 0.0%

Your Cost: $42.70/claim|Median: $82.34
0.5× median
A0100Normal range

Non-emergency transportation; per trip

$7K

179 claims · 0.0%

Your Cost: $37.52/claim|Median: $24.72
1.5× median
A9901Normal range

$3K

306 claims · 0.0%

Your Cost: $9.50/claim|Median: $5.31
1.8× median
99339Top 25%

$640

12 claims · 0.0%

Your Cost: $53.33/claim|Median: $37.37
1.4× median
A9279Normal range

$350

12 claims · 0.0%

Your Cost: $29.16/claim|Median: $10.45
2.8× median

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