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

QUALITY PROGRESSIONS

Case Management·PHILADELPHIA, PA·NPI: 1790864312Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $50.6M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-11(83 months)

Extreme procedure concentration — 87% of $50.6M billed through just 2 codes

Total Paid

$50.6M

$50,642,129

Total Claims

565K

Beneficiaries

176K

3.2 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$6.7M
-3%
2019
$6.5M
+24%
2020
$8.1M
+0%
2021
$8.1M
-10%
2022
$7.3M
+1%
2023
$7.4M
-10%
2024
$6.6M

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 87% of total spending.

W7210Normal range

Waiver service, state-specific code

$44.0M

486K claims · 86.9%

Your Cost: $90.64/claim|Median: $80.31
1.1× median
T1017Normal range

Targeted case management, per 15 min

$6.6M

79K claims · 13.1%

Your Cost: $83.77/claim|Median: $69.56
1.2× median