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

FULL CIRCLE SERVICES

Case Management·INDEPENDENCE, IA·NPI: 1447333455Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.1M is at the 25th percentile among 137 Case Management providers.

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

Total Paid

$49.1M

$49,080,208

Total Claims

246K

Beneficiaries

21K

12.0 claims/patient

Avg Cost/Claim

$199

Monthly Spending Trend

Yearly Spending

2018
$4.9M
+47%
2019
$7.2M
-6%
2020
$6.8M
+2%
2021
$6.9M
+10%
2022
$7.6M
+5%
2023
$8.0M
-5%
2024
$7.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (S5136 (Companion care, adult, per 15 minutes)) accounts for 67% of total spending.

S5136Normal range

Companion care, adult, per 15 minutes

$32.8M

92K claims · 66.8%

Your Cost: $358.33/claim|Median: $302.34
1.2× median
H2016Normal range

Comprehensive community support services, per 15 min

$6.4M

43K claims · 13.0%

Your Cost: $148.99/claim|Median: $321.53
0.5× median
T2020Normal range

Day habilitation, waiver; per diem

$6.3M

73K claims · 12.9%

Your Cost: $86.50/claim|Median: $87.34
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$3.3M

30K claims · 6.6%

Your Cost: $106.85/claim|Median: $96.24
1.1× median
S5150Normal range

Unskilled respite care, per 15 min

$203K

3,754 claims · 0.4%

Your Cost: $54.08/claim|Median: $84.46
0.6× median
T2021Normal range

Day habilitation, waiver; per 15 min

$102K

3,644 claims · 0.2%

Your Cost: $27.93/claim|Median: $150.51
0.2× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$19K

967 claims · 0.0%

Your Cost: $19.73/claim|Median: $53.41
0.4× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$698

21 claims · 0.0%

Your Cost: $33.25/claim|Median: $37.81
0.9× median