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CARESTAR, INC.

Case Management·CINCINNATI, OH·NPI: 1447652227Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.7M is at the 25th percentile among 137 Case Management providers.

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

Total Paid

$42.7M

$42,695,882

Total Claims

1.0M

Beneficiaries

549K

1.8 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+96%
2019
$3.3M
+88%
2020
$6.2M
+13%
2021
$7.0M
+4%
2022
$7.3M
-2%
2023
$7.1M
+44%
2024
$10.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 82% of total spending.

T1016Normal range

Case management, each 15 min

$35.0M

983K claims · 81.9%

Your Cost: $35.60/claim|Median: $49.62
0.7× median
T2022Top 10%

Case management, per month

$3.8M

7,965 claims · 9.0%

Your Cost: $480.13/claim|Median: $202.77
2.4× median
T2023Top 5%

Community transition, waiver; per service

$2.7M

2,334 claims · 6.4%

Your Cost: $1,163.27/claim|Median: $300.13
3.9× median
T2038Top 25%

Community transition, waiver; per service

$980K

948 claims · 2.3%

Your Cost: $1,033.28/claim|Median: $531.12
1.9× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$192K

1,235 claims · 0.5%

Your Cost: $155.84/claim|Median: $114.71
1.4× median
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.08
G9006Normal range

Coordination of long-term care services, per hour

$0

3,773 claims · 0.0%

Your Cost: $0.00/claim|Median: $204.93
G9009Normal range

$0

120 claims · 0.0%

Your Cost: $0.00/claim|Median: $345.34
G9002Normal range

Coordinated care fee, maintenance period

$0

6,987 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.80
G9007Normal range

$0

610 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44