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SOMERVILLE CAMBRIDGE ELDER SERVICES

Case Management·SOMERVILLE, MA·NPI: 1508990490Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $90.2M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$90.2M

$90,176,203

Total Claims

236K

Beneficiaries

61K

3.9 claims/patient

Avg Cost/Claim

$381

Monthly Spending Trend

Yearly Spending

2018
$16.7M
+7%
2019
$18.0M
-12%
2020
$15.9M
-3%
2021
$15.4M
-9%
2022
$14.1M
-44%
2023
$7.9M
-72%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (G0156 (Home health aide services, per visit)) accounts for 40% of total spending.

G0156Top 1%

Home health aide services, per visit

$36.5M

8,335 claims · 40.4%

Your Cost: $4,374.96/claim|Median: $39.42
111.0× median
T1019Top 5%

Personal care services, per 15 min

$30.6M

33K claims · 34.0%

Your Cost: $931.60/claim|Median: $82.47
11.3× median
S5140Top 10%

Foster care, adult; per diem

$9.8M

5,323 claims · 10.9%

Your Cost: $1,847.24/claim|Median: $252.32
7.3× median
S5130Top 25%

Homemaker service, NOS; per 15 min

$6.8M

50K claims · 7.5%

Your Cost: $133.89/claim|Median: $48.76
2.7× median
S5170Normal range

Homemaker service, NOS, per diem

$3.5M

92K claims · 3.8%

Your Cost: $37.35/claim|Median: $19.89
1.9× median
S5135Top 25%

Companion care, adult, per diem

$1.2M

9,707 claims · 1.4%

Your Cost: $127.09/claim|Median: $52.25
2.4× median
S5120Top 25%

Chore services, per 15 min

$438K

3,200 claims · 0.5%

Your Cost: $137.00/claim|Median: $70.19
2.0× median
T2003Top 25%

Non-emergency transport; encounter/trip

$361K

6,778 claims · 0.4%

Your Cost: $53.22/claim|Median: $21.70
2.5× median
S5175Normal range

Laundry service, per occasion

$289K

11K claims · 0.3%

Your Cost: $25.42/claim|Median: $30.40
0.8× median
S5161Normal range

Emergency response system, per month

$208K

8,568 claims · 0.2%

Your Cost: $24.22/claim|Median: $29.97
0.8× median
S5165Normal range

Home modifications, per service

$206K

1,108 claims · 0.2%

Your Cost: $186.03/claim|Median: $2,196.32
0.1× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$104K

1,162 claims · 0.1%

Your Cost: $89.17/claim|Median: $51.67
1.7× median
H0046Normal range

Mental health services, not otherwise specified

$47K

2,759 claims · 0.1%

Your Cost: $17.17/claim|Median: $85.02
0.2× median
S5125Top 5%

Attendant care services, per 15 min

$44K

26 claims · 0.0%

Your Cost: $1,686.15/claim|Median: $82.34
20.5× median
S0280Normal range

Medical home program, comprehensive care management

$40K

301 claims · 0.0%

Your Cost: $132.51/claim|Median: $48.38
2.7× median
S5121Normal range

Attendant care services, in-home, per 15 min

$37K

998 claims · 0.0%

Your Cost: $36.77/claim|Median: $111.06
0.3× median
G9001Normal range

$30K

507 claims · 0.0%

Your Cost: $60.00/claim|Median: $53.98
1.1× median
T1020Normal range

Personal care services, per diem

$2K

38 claims · 0.0%

Your Cost: $49.02/claim|Median: $296.27
0.2× median
G9002Normal range

Coordinated care fee, maintenance period

$385

507 claims · 0.0%

Your Cost: $0.76/claim|Median: $108.80
0.0× median

Other Top Providers in Massachusetts

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Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

Similar Providers

Other top providers in Case Management

Department of Developmental Services

Southbridge, MA

$1.35B

Commonwealth of Massachusets

Beverly, MA

$1.14B

Commonwealth of Mass-dds

Hyde Park, MA

$1.10B

Community Assistance Resources & Extended Services INC

New York, NY

$1.04B

Stavros Center for Independent Living Inc.

Amherst, MA

$1.04B

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