Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

PHILADELPHIA HEALTH MANAGEMENT CORPORATION

Case Management·PHILADELPHIA, PA·NPI: 1720125420Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.2M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 75% of $28.2M billed through just 2 codes

Total Paid

$28.2M

$28,183,365

Total Claims

241K

Beneficiaries

76K

3.2 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2018
$4.2M
+3%
2019
$4.4M
+5%
2020
$4.6M
-2%
2021
$4.5M
-4%
2022
$4.3M
-10%
2023
$3.9M
-42%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 75% of total spending.

W7210Top 1%

Waiver service, state-specific code

$21.3M

179K claims · 75.4%

Your Cost: $118.48/claim|Median: $80.31
1.5× median
T1017Normal range

Targeted case management, per 15 min

$6.9M

62K claims · 24.6%

Your Cost: $111.77/claim|Median: $69.56
1.6× median