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BOSTON SENIOR HOME CARE

Case Management·BOSTON, MA·NPI: 1568583235Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $118.6M is at the 50th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-10(82 months)

Total Paid

$118.6M

$118,612,436

Total Claims

1.2M

Beneficiaries

271K

4.4 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$11.6M
+43%
2019
$16.5M
+9%
2020
$18.0M
+12%
2021
$20.1M
+6%
2022
$21.3M
-13%
2023
$18.5M
-31%
2024
$12.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (S5130 (Homemaker service, NOS; per 15 min)) accounts for 23% of total spending.

S5130Top 25%

Homemaker service, NOS; per 15 min

$26.8M

275K claims · 22.6%

Your Cost: $97.67/claim|Median: $48.76
2.0× median
G0156Top 1%

Home health aide services, per visit

$21.7M

17K claims · 18.3%

Your Cost: $1,256.45/claim|Median: $39.42
31.9× median
T1019Normal range

Personal care services, per 15 min

$20.9M

140K claims · 17.6%

Your Cost: $148.89/claim|Median: $82.47
1.8× median
S5170Normal range

Homemaker service, NOS, per diem

$18.0M

547K claims · 15.2%

Your Cost: $32.83/claim|Median: $19.89
1.7× median
S5125Top 5%

Attendant care services, per 15 min

$8.9M

6,214 claims · 7.5%

Your Cost: $1,436.58/claim|Median: $82.34
17.4× median
S5102Top 10%

Day care services, adult; per 15 min

$6.0M

27K claims · 5.1%

Your Cost: $224.35/claim|Median: $81.10
2.8× median
S5140Top 10%

Foster care, adult; per diem

$4.8M

1,957 claims · 4.1%

Your Cost: $2,462.22/claim|Median: $252.32
9.8× median
S5135Top 10%

Companion care, adult, per diem

$2.8M

15K claims · 2.4%

Your Cost: $183.77/claim|Median: $52.25
3.5× median
T2003Top 10%

Non-emergency transport; encounter/trip

$2.2M

18K claims · 1.9%

Your Cost: $120.02/claim|Median: $21.70
5.5× median
S5175Normal range

Laundry service, per occasion

$2.1M

69K claims · 1.8%

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

Emergency response system, per month

$1.4M

57K claims · 1.2%

Your Cost: $24.76/claim|Median: $29.97
0.8× median
S5165Normal range

Home modifications, per service

$958K

6,746 claims · 0.8%

Your Cost: $142.06/claim|Median: $2,196.32
0.1× median
T1016Top 25%

Case management, each 15 min

$680K

6,305 claims · 0.6%

Your Cost: $107.91/claim|Median: $49.62
2.2× median
S5120Top 25%

Chore services, per 15 min

$334K

2,266 claims · 0.3%

Your Cost: $147.35/claim|Median: $70.19
2.1× median
T1020Normal range

Personal care services, per diem

$311K

6,062 claims · 0.3%

Your Cost: $51.25/claim|Median: $296.27
0.2× median
S5101Normal range

Day care services, adult, per half day

$264K

3,618 claims · 0.2%

Your Cost: $72.98/claim|Median: $66.43
1.1× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$180K

2,108 claims · 0.2%

Your Cost: $85.50/claim|Median: $51.67
1.7× median
S5121Normal range

Attendant care services, in-home, per 15 min

$62K

1,961 claims · 0.1%

Your Cost: $31.44/claim|Median: $111.06
0.3× median
T2023Normal range

Community transition, waiver; per service

$43K

368 claims · 0.0%

Your Cost: $116.60/claim|Median: $300.13
0.4× median
S0250Normal range

$23K

271 claims · 0.0%

Your Cost: $84.23/claim|Median: $66.58
1.3× median
T2022Normal range

Case management, per month

$17K

329 claims · 0.0%

Your Cost: $50.82/claim|Median: $202.77
0.3× median
A9279Top 25%

$9K

186 claims · 0.0%

Your Cost: $48.92/claim|Median: $10.45
4.7× median
S5160Normal range

Emergency response system, per month

$3K

81 claims · 0.0%

Your Cost: $38.63/claim|Median: $38.52
1.0× median