Compared to Case Manager/Care Coordinator Peers
Total spending distribution among 16 providers in this specialty
This provider's total spending of $143.0M is at the 90th percentile among 16 Case Manager/Care Coordinator providers.
Above 90th percentile for this specialty — higher spending than 14 of 16 peers
Total Paid
$143.0M
$142,955,746
Total Claims
6.1M
Beneficiaries
5.1M
1.2 claims/patient
Avg Cost/Claim
$24
#770 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
North East Medical Services is a Case Manager/Care Coordinator provider based in San Francisco, CA. From the 2018–2024 period, this provider received $143.0M in Medicaid payments across 6.1M claims.
Why This Matters
This provider received $143.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,869 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 69% of total spending.
$98.1M
571K claims
$171.92
$121.16
Clinic visit/encounter, all-inclusive
$98.1M
571K claims · 68.6%
Anesthesia services
$31.9M
140K claims · 22.3%
$5.5M
105K claims
$52.47
$21.91
Federally qualified health center visit, mental health
$5.5M
105K claims · 3.9%
$2.4M
17K claims
$136.80
$137.85
Other specified case management service, per 15 minutes
$2.4M
17K claims · 1.7%
$604K
114K claims · 0.4%
$574K
37K claims
$15.62
$47.08
Ophthalmological exam, comprehensive, established patient
$574K
37K claims · 0.4%
$514K
21K claims · 0.4%
Psychotherapy, 45 minutes
$403K
7K claims · 0.3%
$350K
807K claims
$0.43
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$350K
807K claims · 0.2%
$291K
6K claims
$48.14
$66.78
Coordination of long-term care services, per month
$291K
6K claims · 0.2%
$259K
19K claims
$13.84
$59.72
Ophthalmological exam, comprehensive, new patient
$259K
19K claims · 0.2%
Psychotherapy, 30 minutes
$190K
4K claims · 0.1%
$162K
1K claims
$125.27
$99.21
Psychiatric diagnostic evaluation
$162K
1K claims · 0.1%
$122K
154K claims
$0.79
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$122K
154K claims · 0.1%
$115K
26K claims
$4.51
$39.33
Screening mammography, bilateral, including CAD
$115K
26K claims · 0.1%
$97K
4K claims
$23.34
$20.83
Chiropractic manipulative treatment, 3-4 spinal regions
$97K
4K claims · 0.1%
$87K
275K claims
$0.32
$25.06
Office/outpatient visit, low complexity
$87K
275K claims · 0.1%
$79K
2K claims
$51.73
$33.72
COVID-19 vaccine admin, Pfizer, 1st dose
$79K
2K claims · 0.1%
COVID-19 vaccine admin, Pfizer, 2nd dose
$73K
1K claims · 0.1%
$71K
3K claims · 0.0%
$71K
1K claims · 0.0%
$62K
1K claims · 0.0%
Frames, purchases
$53K
32K claims · 0.0%
$48K
30K claims
$1.64
$19.46
Fitting of spectacles, except for aphakia
$48K
30K claims · 0.0%
$46K
776 claims · 0.0%
$45K
681 claims
$66.76
$33.85
COVID-19 vaccine admin, Moderna, 2nd dose
$45K
681 claims · 0.0%
$44K
882 claims
$49.45
$25.93
COVID-19 vaccine admin, Moderna, 1st dose
$44K
882 claims · 0.0%
$43K
1K claims · 0.0%
$34K
19K claims
$1.81
$21.41
Screening digital breast tomosynthesis, bilateral
$34K
19K claims · 0.0%
$31K
512 claims
$60.46
$32.49
COVID-19 vaccine admin, J&J, single dose
$31K
512 claims · 0.0%
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$1.73B
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$1.34B
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