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ENCOMPASS HEALTH HOME, LLC

Case Management·BINGHAMTON, NY·NPI: 1689710154Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.1M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2019-012024-04(64 months)
Billing appears to have stoppedLast active: 2024-04

Total Paid

$26.1M

$26,083,373

Total Claims

60K

Beneficiaries

60K

1.0 claims/patient

Avg Cost/Claim

$431

Monthly Spending Trend

Yearly Spending

2019
$2.4M
+237%
2020
$8.1M
-3%
2021
$7.9M
-48%
2022
$4.1M
-30%
2023
$2.9M
-76%
2024
$704K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 69% of total spending.

T2022Top 10%

Case management, per month

$17.9M

37K claims · 68.8%

Your Cost: $490.35/claim|Median: $202.77
2.4× median
G9005Top 25%

Coordinated care fee, risk-adjusted, ESRD

$7.9M

22K claims · 30.4%

Your Cost: $353.92/claim|Median: $47.08
7.5× median
G0506Top 5%

Comprehensive assessment of chronic care management

$165K

893 claims · 0.6%

Your Cost: $184.99/claim|Median: $7.41
25.0× median
G9001Normal range

$44K

592 claims · 0.2%

Your Cost: $74.87/claim|Median: $53.98
1.4× median