Compared to Case Management Peers
Total spending distribution among 137 providers in this specialty
This provider's total spending of $121.6M is at the 50th percentile among 137 Case Management providers.
Total Paid
$121.6M
$121,646,920
Total Claims
1.1M
Beneficiaries
168K
6.4 claims/patient
Avg Cost/Claim
$113
#981 of 618K providers by total spending(top 0.2%)
🔍 Analysis
Provider Overview
Alpha One is a Case Management provider based in South Portland, ME. From the 2018–2024 period, this provider received $121.6M in Medicaid payments across 1.1M claims.
Important Context
- ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.
Why This Matters
This provider received $121.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,205 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 88% of total spending.
$107.5M
851K claims
$126.38
$82.34
Attendant care services, per 15 min
$107.5M
851K claims · 88.4%
Case management, per month
$6.1M
43K claims · 5.0%
$2.5M
84K claims
$30.04
$108.80
Coordinated care fee, maintenance period
$2.5M
84K claims · 2.1%
$2.1M
25K claims
$83.85
$108.97
Financial management, self-directed; per month
$2.1M
25K claims · 1.7%
$2.0M
28K claims
$69.99
$71.40
Respite care services, per 15 minutes
$2.0M
28K claims · 1.6%
Case management, each 15 min
$1.3M
44K claims · 1.1%
$47K
990 claims
$47.76
$83.88
Skills training & development, per 15 min
$47K
990 claims · 0.0%
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