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ADIRONDACK HEALTH INSTITUTE

Case Manager/Care Coordinator·QUEENSBURY, NY·NPI: 1740557735Share

Compared to Case Manager/Care Coordinator Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $45.3M is at the 25th percentile among 16 Case Manager/Care Coordinator providers.

Active Billing Period:2019-012024-12(72 months)

Total Paid

$45.3M

$45,279,179

Total Claims

125K

Beneficiaries

125K

1.0 claims/patient

Avg Cost/Claim

$361

Monthly Spending Trend

Yearly Spending

2019
$2.3M
+241%
2020
$7.7M
+8%
2021
$8.3M
+12%
2022
$9.3M
+8%
2023
$10.0M
-24%
2024
$7.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (G9005 (Coordinated care fee, risk-adjusted, ESRD)) accounts for 83% of total spending.

G9005Top 25%

Coordinated care fee, risk-adjusted, ESRD

$37.5M

108K claims · 82.9%

Your Cost: $347.44/claim|Median: $47.08
7.4× median
T2022Top 10%

Case management, per month

$7.5M

15K claims · 16.6%

Your Cost: $493.38/claim|Median: $202.77
2.4× median
G9001Normal range

$112K

1,512 claims · 0.2%

Your Cost: $73.76/claim|Median: $53.98
1.4× median
G0506Top 5%

Comprehensive assessment of chronic care management

$105K

569 claims · 0.2%

Your Cost: $185.13/claim|Median: $7.41
25.0× median