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ELDER SERVICES OF WORCESTER AREA, INC

Case Management·WORCESTER, MA·NPI: 1689707770Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $48.4M is at the 25th percentile among 137 Case Management providers.

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

Total Paid

$48.4M

$48,446,922

Total Claims

730K

Beneficiaries

276K

2.6 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$6.4M
+18%
2019
$7.5M
-5%
2020
$7.1M
-9%
2021
$6.5M
-2%
2022
$6.4M
+28%
2023
$8.2M
-23%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (S5130 (Homemaker service, NOS; per 15 min)) accounts for 29% of total spending.

S5130Normal range

Homemaker service, NOS; per 15 min

$13.9M

165K claims · 28.7%

Your Cost: $84.39/claim|Median: $48.76
1.7× median
T1019Normal range

Personal care services, per 15 min

$7.6M

125K claims · 15.7%

Your Cost: $60.93/claim|Median: $82.47
0.7× median
S5102Top 10%

Day care services, adult; per 15 min

$6.5M

36K claims · 13.4%

Your Cost: $178.63/claim|Median: $81.10
2.2× median
S5170Normal range

Homemaker service, NOS, per diem

$4.6M

136K claims · 9.4%

Your Cost: $33.42/claim|Median: $19.89
1.7× median
G0156Top 5%

Home health aide services, per visit

$3.9M

15K claims · 8.1%

Your Cost: $261.06/claim|Median: $39.42
6.6× median
T2022Normal range

Case management, per month

$3.2M

60K claims · 6.7%

Your Cost: $53.42/claim|Median: $202.77
0.3× median
T2003Top 25%

Non-emergency transport; encounter/trip

$3.1M

44K claims · 6.4%

Your Cost: $71.27/claim|Median: $21.70
3.3× median
S5161Normal range

Emergency response system, per month

$2.2M

92K claims · 4.6%

Your Cost: $24.30/claim|Median: $29.97
0.8× median
S5120Normal range

Chore services, per 15 min

$603K

11K claims · 1.2%

Your Cost: $56.13/claim|Median: $70.19
0.8× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$600K

7,745 claims · 1.2%

Your Cost: $77.44/claim|Median: $51.67
1.5× median
G9001Top 25%

$512K

5,129 claims · 1.1%

Your Cost: $99.86/claim|Median: $53.98
1.9× median
T1020Normal range

Personal care services, per diem

$442K

8,319 claims · 0.9%

Your Cost: $53.10/claim|Median: $296.27
0.2× median
S5101Normal range

Day care services, adult, per half day

$258K

5,064 claims · 0.5%

Your Cost: $51.01/claim|Median: $66.43
0.8× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$155K

1,439 claims · 0.3%

Your Cost: $107.79/claim|Median: $106.70
1.0× median
A9279Normal range

$147K

5,782 claims · 0.3%

Your Cost: $25.39/claim|Median: $10.45
2.4× median
S5100Normal range

Day care services, adult, per half day

$127K

1,876 claims · 0.3%

Your Cost: $67.82/claim|Median: $67.58
1.0× median
S5165Normal range

Home modifications, per service

$118K

889 claims · 0.2%

Your Cost: $132.46/claim|Median: $2,196.32
0.1× median
S5135Normal range

Companion care, adult, per diem

$98K

1,931 claims · 0.2%

Your Cost: $50.77/claim|Median: $52.25
1.0× median
T1001Top 25%

Nursing assessment/evaluation, per visit

$96K

981 claims · 0.2%

Your Cost: $97.45/claim|Median: $49.05
2.0× median
H0046Normal range

Mental health services, not otherwise specified

$92K

3,814 claims · 0.2%

Your Cost: $24.09/claim|Median: $85.02
0.3× median
96160Top 1%

Patient-focused health risk assessment

$67K

1,154 claims · 0.1%

Your Cost: $58.47/claim|Median: $2.10
27.8× median
99456Normal range

$25K

350 claims · 0.1%

Your Cost: $72.70/claim|Median: $151.24
0.5× median
S5160Normal range

Emergency response system, per month

$19K

626 claims · 0.0%

Your Cost: $31.10/claim|Median: $38.52
0.8× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$16K

895 claims · 0.0%

Your Cost: $18.12/claim|Median: $17.67
1.0× median
S0280Normal range

Medical home program, comprehensive care management

$6K

47 claims · 0.0%

Your Cost: $127.66/claim|Median: $48.38
2.6× median
G9002Normal range

Coordinated care fee, maintenance period

$354

162 claims · 0.0%

Your Cost: $2.19/claim|Median: $108.80
0.0× 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.

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$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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