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RHA HEALTH SERVICES NC, LLC

Case Management·GREENSBORO, NC·NPI: 1427193713Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $32.5M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$32.5M

$32,524,097

Total Claims

231K

Beneficiaries

95K

2.4 claims/patient

Avg Cost/Claim

$141

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-5%
2019
$2.5M
+74%
2020
$4.3M
+25%
2021
$5.4M
+6%
2022
$5.7M
+4%
2023
$6.0M
+1%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 61% of total spending.

T1016Top 25%

Case management, each 15 min

$19.9M

156K claims · 61.2%

Your Cost: $127.55/claim|Median: $49.62
2.6× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$12.4M

75K claims · 38.0%

Your Cost: $165.42/claim|Median: $162.29
1.0× median
S5165Top 10%

Home modifications, per service

$249K

33 claims · 0.8%

Your Cost: $7,560.57/claim|Median: $2,196.32
3.4× median
T2025Normal range

Waiver services, NOS; per 15 min

$8K

307 claims · 0.0%

Your Cost: $25.20/claim|Median: $124.39
0.2× median