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ELDER SERVICES OF BERKSHIRE COUNTY INC.

Case Management·PITTSFIELD, MA·NPI: 1609993401Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.9M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$35.9M

$35,911,195

Total Claims

311K

Beneficiaries

78K

4.0 claims/patient

Avg Cost/Claim

$115

Monthly Spending Trend

Yearly Spending

2018
$4.8M
+10%
2019
$5.3M
+15%
2020
$6.1M
+14%
2021
$7.0M
-6%
2022
$6.6M
-35%
2023
$4.3M
-56%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 43% of total spending.

T1019Top 25%

Personal care services, per 15 min

$15.6M

55K claims · 43.3%

Your Cost: $283.87/claim|Median: $82.47
3.4× median
G0156Top 5%

Home health aide services, per visit

$8.0M

11K claims · 22.2%

Your Cost: $705.74/claim|Median: $39.42
17.9× median
S5130Normal range

Homemaker service, NOS; per 15 min

$7.3M

89K claims · 20.3%

Your Cost: $82.49/claim|Median: $48.76
1.7× median
S5170Normal range

Homemaker service, NOS, per diem

$2.3M

90K claims · 6.3%

Your Cost: $25.04/claim|Median: $19.89
1.3× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$987K

13K claims · 2.7%

Your Cost: $75.73/claim|Median: $51.67
1.5× median
S5135Normal range

Companion care, adult, per diem

$803K

11K claims · 2.2%

Your Cost: $71.98/claim|Median: $52.25
1.4× median
S5175Normal range

Laundry service, per occasion

$622K

27K claims · 1.7%

Your Cost: $23.31/claim|Median: $30.40
0.8× median
S5161Normal range

Emergency response system, per month

$335K

13K claims · 0.9%

Your Cost: $25.49/claim|Median: $29.97
0.9× median
A9279Normal range

$74K

2,102 claims · 0.2%

Your Cost: $35.33/claim|Median: $10.45
3.4× median
S5160Normal range

Emergency response system, per month

$3K

72 claims · 0.0%

Your Cost: $42.38/claim|Median: $38.52
1.1× median
T2003Normal range

Non-emergency transport; encounter/trip

$2K

66 claims · 0.0%

Your Cost: $33.45/claim|Median: $21.70
1.5× median

Other Top Providers in Massachusetts

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Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

Similar Providers

Other top providers in Case Management

Department of Developmental Services

Southbridge, MA

$1.35B

Commonwealth of Massachusets

Beverly, MA

$1.14B

Commonwealth of Mass-dds

Hyde Park, MA

$1.10B

Community Assistance Resources & Extended Services INC

New York, NY

$1.04B

Stavros Center for Independent Living Inc.

Amherst, MA

$1.04B

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