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Agespan Inc.

Case Management·Lawrence, MA·NPI: 1619007630Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $163.4M is at the 50th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-11(83 months)
Sharp billing drop in final month

Total Paid

$163.4M

$163,355,434

Total Claims

1.3M

Beneficiaries

415K

3.2 claims/patient

Avg Cost/Claim

$122

#622 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Agespan Inc. is a Case Management provider based in Lawrence, MA. From the 2018–2024 period, this provider received $163.4M in Medicaid payments across 1.3M claims.

Important Context

  • ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.

Why This Matters

This provider received $163.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,419 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 20% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.9M
+37%
2019
$25.8M
+7%
2020
$27.8M
-5%
2021
$26.3M
+1%
2022
$26.6M
-15%
2023
$22.7M
-34%
2024
$15.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (G0156 (Home health aide services, per visit)) accounts for 32% of total spending.

G0156Top 5%

Home health aide services, per visit

$51.7M

67K claims · 31.6%

Your Cost: $772.77/claim|Median: $39.42
19.6× median
T1019Normal range

Personal care services, per 15 min

$27.5M

206K claims · 16.8%

Your Cost: $133.63/claim|Median: $82.47
1.6× median
S5130Normal range

Homemaker service, NOS; per 15 min

$23.1M

252K claims · 14.2%

Your Cost: $91.83/claim|Median: $48.76
1.9× median
S5102Top 10%

Day care services, adult; per 15 min

$14.9M

68K claims · 9.1%

Your Cost: $218.47/claim|Median: $81.10
2.7× median
S5125Top 5%

Attendant care services, per 15 min

$11.5M

17K claims · 7.0%

Your Cost: $667.13/claim|Median: $82.34
8.1× median
S5135Normal range

Companion care, adult, per diem

$7.7M

111K claims · 4.7%

Your Cost: $69.14/claim|Median: $52.25
1.3× median
S5170Normal range

Homemaker service, NOS, per diem

$7.7M

296K claims · 4.7%

Your Cost: $25.85/claim|Median: $19.89
1.3× median
T2003Top 10%

Non-emergency transport; encounter/trip

$7.1M

62K claims · 4.4%

Your Cost: $115.41/claim|Median: $21.70
5.3× median
T2022Normal range

Case management, per month

$5.8M

108K claims · 3.6%

Your Cost: $54.00/claim|Median: $202.77
0.3× median
S5161Normal range

Emergency response system, per month

$2.4M

95K claims · 1.5%

Your Cost: $25.61/claim|Median: $29.97
0.8× median
S5165Normal range

Home modifications, per service

$1.3M

6K claims · 0.8%

Your Cost: $208.92/claim|Median: $2,196.32
0.1× median
S5101Normal range

Day care services, adult, per half day

$583K

8K claims · 0.4%

Your Cost: $76.67/claim|Median: $66.43
1.1× median
S5175Normal range

Laundry service, per occasion

$486K

16K claims · 0.3%

Your Cost: $31.31/claim|Median: $30.40
1.0× median
T1020Normal range

Personal care services, per diem

$423K

8K claims · 0.3%

Your Cost: $51.64/claim|Median: $296.27
0.2× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$376K

4K claims · 0.2%

Your Cost: $97.88/claim|Median: $51.67
1.9× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$232K

2K claims · 0.1%

Your Cost: $116.81/claim|Median: $106.70
1.1× median
G9001Top 25%

$179K

2K claims · 0.1%

Your Cost: $89.67/claim|Median: $53.98
1.7× median
S5120Top 25%

Chore services, per 15 min

$159K

959 claims · 0.1%

Your Cost: $165.34/claim|Median: $70.19
2.4× median
A9279Normal range

$73K

2K claims · 0.0%

Your Cost: $39.04/claim|Median: $10.45
3.7× median
A0425Normal range

Ground mileage, per statute mile

$43K

2K claims · 0.0%

Your Cost: $24.56/claim|Median: $23.36
1.1× median
S5160Normal range

Emergency response system, per month

$37K

1K claims · 0.0%

Your Cost: $36.00/claim|Median: $38.52
0.9× median
A0100Top 1%

Non-emergency transportation; per trip

$31K

69 claims · 0.0%

Your Cost: $449.52/claim|Median: $24.72
18.2× median
99456Normal range

$29K

240 claims · 0.0%

Your Cost: $119.65/claim|Median: $151.24
0.8× median
S9122Top 5%

Home health aide or certified nurse, per hour

$24K

45 claims · 0.0%

Your Cost: $536.26/claim|Median: $116.67
4.6× median
96160Top 1%

Patient-focused health risk assessment

$17K

196 claims · 0.0%

Your Cost: $88.65/claim|Median: $2.10
42.2× median
S5136Normal range

Companion care, adult, per 15 minutes

$11K

44 claims · 0.0%

Your Cost: $240.36/claim|Median: $302.34
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$5K

201 claims · 0.0%

Your Cost: $26.94/claim|Median: $85.66
0.3× median
99339Normal range

$2K

66 claims · 0.0%

Your Cost: $33.94/claim|Median: $37.37
0.9× median

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