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PENNREACH

Case Management·ALLENTOWN, NJ·NPI: 1710364385Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $65.1M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-12(83 months)

Total Paid

$65.1M

$65,064,420

Total Claims

187K

Beneficiaries

12K

15.7 claims/patient

Avg Cost/Claim

$348

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+233%
2019
$6.8M
+46%
2020
$10.0M
+15%
2021
$11.5M
+5%
2022
$12.0M
-10%
2023
$10.7M
+12%
2024
$12.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 92% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$59.9M

142K claims · 92.1%

Your Cost: $422.80/claim|Median: $321.53
1.3× median
H2021Normal range

Community-based wrap-around services, per 15 min

$3.0M

20K claims · 4.7%

Your Cost: $152.50/claim|Median: $169.11
0.9× median
H0039Normal range

Assertive community treatment, per diem

$1.1M

11K claims · 1.7%

Your Cost: $96.85/claim|Median: $132.62
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$574K

5,557 claims · 0.9%

Your Cost: $103.28/claim|Median: $96.24
1.1× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$375K

7,400 claims · 0.6%

Your Cost: $50.66/claim|Median: $76.05
0.7× median
A0090Top 25%

Non-emergency transport, per mile

$51K

1,196 claims · 0.1%

Your Cost: $42.54/claim|Median: $10.45
4.1× median