Is SENIOR ALLIANCE INC flagged for Medicaid fraud?

SENIOR ALLIANCE INC (NPI: 1821182585) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does SENIOR ALLIANCE INC bill Medicaid?

SENIOR ALLIANCE INC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Case Management provider. Located in DEARBORN, MI.

What is NPI 1821182585?

NPI 1821182585 is the National Provider Identifier for SENIOR ALLIANCE INC. They are a Case Management provider based in DEARBORN, MI. This NPI is registered with the CMS NPI Registry.

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SENIOR ALLIANCE INC

Case Management·DEARBORN, MI·NPI: 1821182585Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $54.8M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$54.8M

$54,751,621

Total Claims

683K

Beneficiaries

85K

8.0 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018

$4.7M

+100%

2019

$9.4M

-16%

2020

$7.9M

+3%

2021

$8.1M

+10%

2022

$9.0M

-1%

2023

$8.9M

-24%

2024

$6.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 55% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1019Personal care services, per 15 minSee all providers →

$30.2M

409K claims

$73.87

$82.47

0.9×

Normal range

T1019Normal range

Personal care services, per 15 min

$30.2M

409K claims · 55.1%

Your Cost: $73.87/claim|Median: $82.47

0.9× median

T2022Case management, per monthSee all providers →

$20.6M

46K claims

$450.00

$202.77

2.2×

Top 10%

T2022Top 10%

Case management, per month

$20.6M

46K claims · 37.6%

Your Cost: $450.00/claim|Median: $202.77

2.2× median

S5170Homemaker service, NOS, per diemSee all providers →

$1.6M

179K claims

$8.90

$19.89

0.4×

Normal range

S5170Normal range

Homemaker service, NOS, per diem

$1.6M

179K claims · 2.9%

Your Cost: $8.90/claim|Median: $19.89

0.4× median

H2015Comprehensive community support services, per 15 minSee all providers →

$1.3M

28K claims

$45.52

$96.24

0.5×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$1.3M

28K claims · 2.3%

Your Cost: $45.52/claim|Median: $96.24

0.5× median

S5121Attendant care services, in-home, per 15 minSee all providers →

$719K

12K claims

$61.71

$111.06

0.6×

Normal range

S5121Normal range

Attendant care services, in-home, per 15 min

$719K

12K claims · 1.3%

Your Cost: $61.71/claim|Median: $111.06

0.6× median

S5161Emergency response system, per monthSee all providers →

$189K

7,318 claims

$25.77

$29.97

0.9×

Normal range

S5161Normal range

Emergency response system, per month

$189K

7,318 claims · 0.3%

Your Cost: $25.77/claim|Median: $29.97

0.9× median

T2003Non-emergency transport; encounter/tripSee all providers →

$102K

2,148 claims

$47.43

$21.70

2.2×

Top 25%

T2003Top 25%

Non-emergency transport; encounter/trip

$102K

2,148 claims · 0.2%

Your Cost: $47.43/claim|Median: $21.70

2.2× median

T2024Supported employment, waiver, per diemSee all providers →

$89K

595 claims

$148.74

$259.38

0.6×

Normal range

T2024Normal range

Supported employment, waiver, per diem

$89K

595 claims · 0.2%

Your Cost: $148.74/claim|Median: $259.38

0.6× median

S9445 See all providers →

$2K

55 claims

$39.64

$12.72

3.1×

Top 25%

S9445Top 25%

$2K

55 claims · 0.0%

Your Cost: $39.64/claim|Median: $12.72

3.1× median

E0245 See all providers →

$2K

37 claims

$49.22

$42.10

1.2×

Normal range

E0245Normal range

$2K

37 claims · 0.0%

Your Cost: $49.22/claim|Median: $42.10

1.2× median

E0244 See all providers →

$1K

24 claims

$45.30

$32.11

1.4×

Normal range

E0244Normal range

$1K

24 claims · 0.0%

Your Cost: $45.30/claim|Median: $32.11

1.4× median

S5199Personal care item, NOS, eachSee all providers →

$942

60 claims

$15.69

$10.82

1.5×

Normal range

S5199Normal range

Personal care item, NOS, each

$942

60 claims · 0.0%

Your Cost: $15.69/claim|Median: $10.82

1.5× median

E0315 See all providers →

$885

12 claims

$73.72

$61.74

1.2×

Normal range

E0315Normal range

$885

12 claims · 0.0%

Your Cost: $73.72/claim|Median: $61.74

1.2× median

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