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

ABILITIES FIRST

Case Management·SPRINGFIELD, MO·NPI: 1861521809Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.0M is at the 25th percentile among 137 Case Management providers.

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

Extreme procedure concentration — 100% of $46.0M billed through a single code

Total Paid

$46.0M

$46,008,492

Total Claims

565K

Beneficiaries

117K

4.8 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$5.5M
+16%
2019
$6.4M
+4%
2020
$6.7M
+6%
2021
$7.1M
-1%
2022
$7.0M
+2%
2023
$7.1M
-13%
2024
$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 1 distinct procedure code. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 100% of total spending.

G9012Normal range

Other specified case management service, per 15 minutes

$46.0M

565K claims · 100.0%

Your Cost: $81.46/claim|Median: $137.85
0.6× median