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BLUEGRASS AREA DEVELOPMENT DISTRICT

Case Management·LEXINGTON, KY·NPI: 1598881575Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $75.4M is at the 25th percentile among 137 Case Management providers.

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

Total Paid

$75.4M

$75,412,589

Total Claims

480K

Beneficiaries

62K

7.8 claims/patient

Avg Cost/Claim

$157

Monthly Spending Trend

Yearly Spending

2018
$7.3M
+23%
2019
$9.0M
+12%
2020
$10.0M
-1%
2021
$9.9M
+11%
2022
$11.0M
+21%
2023
$13.3M
+12%
2024
$14.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 62% of total spending.

T1019Top 25%

Personal care services, per 15 min

$46.5M

223K claims · 61.6%

Your Cost: $207.91/claim|Median: $82.47
2.5× median
97535Top 5%

Self-care/home management training, per 15 minutes

$19.0M

166K claims · 25.2%

Your Cost: $114.46/claim|Median: $18.18
6.3× median
T2022Normal range

Case management, per month

$3.6M

13K claims · 4.8%

Your Cost: $272.69/claim|Median: $202.77
1.3× median
T1005Normal range

Respite care services, per 15 minutes

$2.3M

33K claims · 3.1%

Your Cost: $70.21/claim|Median: $71.40
1.0× median
S5108Normal range

Home care training to home care client, per 15 minutes

$1.9M

20K claims · 2.6%

Your Cost: $95.86/claim|Median: $107.36
0.9× median
T2040Normal range

Financial management, self-directed; per month

$1.9M

18K claims · 2.5%

Your Cost: $102.99/claim|Median: $108.97
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$114K

4,378 claims · 0.2%

Your Cost: $25.95/claim|Median: $96.24
0.3× median
S5130Normal range

Homemaker service, NOS; per 15 min

$74K

1,269 claims · 0.1%

Your Cost: $58.18/claim|Median: $48.76
1.2× median