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

WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC.

Case Management·PHILADELPHIA, PA·NPI: 1528180320Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.0M is at the below 25th percentile among 137 Case Management providers.

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

Extreme procedure concentration — 86% of $22.0M billed through just 2 codes

Total Paid

$22.0M

$21,975,625

Total Claims

207K

Beneficiaries

59K

3.5 claims/patient

Avg Cost/Claim

$106

Monthly Spending Trend

Yearly Spending

2018
$3.6M
-8%
2019
$3.3M
+3%
2020
$3.4M
-1%
2021
$3.4M
-3%
2022
$3.3M
-19%
2023
$2.7M
-17%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 86% of total spending.

W7210Top 10%

Waiver service, state-specific code

$18.9M

172K claims · 86.1%

Your Cost: $109.77/claim|Median: $80.31
1.4× median
T1017Normal range

Targeted case management, per 15 min

$3.0M

35K claims · 13.9%

Your Cost: $86.97/claim|Median: $69.56
1.3× median