Compared to Case Manager/Care Coordinator Peers
Total spending distribution among 16 providers in this specialty
This provider's total spending of $38.3M is at the 25th percentile among 16 Case Manager/Care Coordinator providers.
Total Paid
$38.3M
$38,277,706
Total Claims
256K
Beneficiaries
48K
5.3 claims/patient
Avg Cost/Claim
$149
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 20 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 37% of total spending.
$14.1M
51K claims
$274.42
$74.63
Behavioral health counseling & therapy, per 15 min
$14.1M
51K claims · 36.8%
$8.4M
40K claims
$208.26
$96.24
Comprehensive community support services, per 15 min
$8.4M
40K claims · 22.0%
$4.3M
31K claims
$137.73
$18.18
Self-care/home management training, per 15 minutes
$4.3M
31K claims · 11.3%
OT, in the home, per diem
$3.1M
39K claims · 8.1%
$3.0M
37K claims
$79.64
$72.77
Speech therapy, in the home, per diem
$3.0M
37K claims · 7.8%
$2.1M
12K claims
$173.05
$167.38
Adaptive behavior treatment by protocol, per 15 min
$2.1M
12K claims · 5.4%
$1.4M
18K claims
$78.04
$90.35
Physical therapy, in the home, per diem
$1.4M
18K claims · 3.8%
$878K
7,427 claims
$118.25
$146.45
Adaptive behavior treatment with protocol modification, per 15 minutes
$878K
7,427 claims · 2.3%
$366K
2,801 claims
$130.52
$161.10
Behavior identification assessment
$366K
2,801 claims · 1.0%
$198K
7,028 claims
$28.12
$33.11
Therapeutic activities, each 15 min
$198K
7,028 claims · 0.5%
$173K
5,492 claims
$31.42
$49.45
Speech/hearing/language treatment
$173K
5,492 claims · 0.5%
$131K
1,688 claims
$77.39
$55.95
Group adaptive behavior treatment, per 15 min
$131K
1,688 claims · 0.3%
Psychotherapy, 30 minutes
$36K
1,021 claims · 0.1%
Psychotherapy, 60 minutes
$24K
358 claims · 0.1%
$16K
222 claims · 0.0%
$14K
154 claims
$91.82
$71.40
Respite care services, per 15 minutes
$14K
154 claims · 0.0%
$13K
39 claims
$334.05
$300.13
Community transition, waiver; per service
$13K
39 claims · 0.0%
Psychiatric diagnostic evaluation
$8K
95 claims · 0.0%
$3K
48 claims
$62.99
$80.64
Mental health service plan development
$3K
48 claims · 0.0%
$879
21 claims
$41.84
$47.55
Interpretation/explanation of results
$879
21 claims · 0.0%
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