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SOUTHWEST BOSTON SENIOR SERVICES, INC.

Point of Service·JAMAICA PLAIN, MA·NPI: 1689708505Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$65.7M

$65,669,848

Total Claims

469K

Beneficiaries

171K

2.7 claims/patient

Avg Cost/Claim

$140

Monthly Spending Trend

Yearly Spending

2018
$9.6M
+12%
2019
$10.7M
+7%
2020
$11.4M
+5%
2021
$12.0M
-13%
2022
$10.5M
-27%
2023
$7.7M
-51%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (S5130 (Homemaker service, NOS; per 15 min)) accounts for 30% of total spending.

S5130Top 25%

Homemaker service, NOS; per 15 min

$19.9M

104K claims · 30.3%

Your Cost: $192.06/claim|Median: $48.76
3.9× median
G0156Top 5%

Home health aide services, per visit

$17.2M

36K claims · 26.2%

Your Cost: $476.16/claim|Median: $39.42
12.1× median
S5135Top 5%

Companion care, adult, per diem

$8.1M

24K claims · 12.3%

Your Cost: $334.63/claim|Median: $52.25
6.4× median
S5125Top 5%

Attendant care services, per 15 min

$3.4M

3,275 claims · 5.2%

Your Cost: $1,035.76/claim|Median: $82.34
12.6× median
T2022Normal range

Case management, per month

$3.3M

59K claims · 5.1%

Your Cost: $56.38/claim|Median: $202.77
0.3× median
T1019Top 25%

Personal care services, per 15 min

$3.3M

18K claims · 5.0%

Your Cost: $182.03/claim|Median: $82.47
2.2× median
S5170Normal range

Homemaker service, NOS, per diem

$3.2M

127K claims · 4.9%

Your Cost: $25.32/claim|Median: $19.89
1.3× median
S5102Top 10%

Day care services, adult; per 15 min

$2.1M

11K claims · 3.2%

Your Cost: $181.86/claim|Median: $81.10
2.2× median
T2023Normal range

Community transition, waiver; per service

$1.5M

16K claims · 2.2%

Your Cost: $91.00/claim|Median: $300.13
0.3× median
T2003Top 10%

Non-emergency transport; encounter/trip

$1.2M

12K claims · 1.8%

Your Cost: $102.52/claim|Median: $21.70
4.7× median
S5175Normal range

Laundry service, per occasion

$852K

27K claims · 1.3%

Your Cost: $31.43/claim|Median: $30.40
1.0× median
S5120Normal range

Chore services, per 15 min

$513K

4,477 claims · 0.8%

Your Cost: $114.52/claim|Median: $70.19
1.6× median
S5161Normal range

Emergency response system, per month

$487K

19K claims · 0.7%

Your Cost: $25.43/claim|Median: $29.97
0.8× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$232K

2,174 claims · 0.4%

Your Cost: $106.72/claim|Median: $51.67
2.1× median
G9001Normal range

$159K

2,291 claims · 0.2%

Your Cost: $69.52/claim|Median: $53.98
1.3× median
S5165Normal range

Home modifications, per service

$120K

662 claims · 0.2%

Your Cost: $181.53/claim|Median: $2,196.32
0.1× median
T1016Top 25%

Case management, each 15 min

$64K

683 claims · 0.1%

Your Cost: $93.42/claim|Median: $49.62
1.9× median
T1020Normal range

Personal care services, per diem

$33K

637 claims · 0.1%

Your Cost: $51.67/claim|Median: $296.27
0.2× median
99456Normal range

$28K

277 claims · 0.0%

Your Cost: $100.41/claim|Median: $151.24
0.7× median
S5121Normal range

Attendant care services, in-home, per 15 min

$22K

640 claims · 0.0%

Your Cost: $34.28/claim|Median: $111.06
0.3× median
S5101Normal range

Day care services, adult, per half day

$15K

288 claims · 0.0%

Your Cost: $53.69/claim|Median: $66.43
0.8× median
A9279Normal range

$15K

542 claims · 0.0%

Your Cost: $28.27/claim|Median: $10.45
2.7× median
96160Top 1%

Patient-focused health risk assessment

$6K

112 claims · 0.0%

Your Cost: $57.14/claim|Median: $2.10
27.2× median
H0046Normal range

Mental health services, not otherwise specified

$522

12 claims · 0.0%

Your Cost: $43.50/claim|Median: $85.02
0.5× median
S5160Normal range

Emergency response system, per month

$509

12 claims · 0.0%

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

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