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Baldwin County Health Dept-robertsdale Fp Cm

Case Management·Robertsdale, AL·NPI: 1659414738SharePrint ReportML Risk: 84%

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $297K is at the below 25th percentile among 137 Case Management providers.

Total Paid

$297K

$296,764

Total Claims

5K

Beneficiaries

2K

2.0 claims/patient

Avg Cost/Claim

$62

🔍 Analysis

Provider Overview

Baldwin County Health Dept-robertsdale Fp Cm is a Case Management provider based in Robertsdale, AL. From the 2018–2024 period, this provider received $297K in Medicaid payments across 5K claims serving 2K beneficiaries.

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.
  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.
38% growthsince first billing year

Yearly Spending

2018
$183K
-38%
2019
$114K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 90% of total spending.

Targeted case management, per 15 min

$267K

4K claims · 90.1%

$29K

519 claims · 9.9%