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SENIORSPLUS

Case Management·LEWISTON, ME·NPI: 1871729616Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $74.7M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$74.7M

$74,671,793

Total Claims

631K

Beneficiaries

362K

1.7 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$8.0M
+3%
2019
$8.3M
+22%
2020
$10.1M
+6%
2021
$10.7M
+11%
2022
$11.9M
+8%
2023
$12.9M
-1%
2024
$12.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 56% of total spending.

S5125Top 10%

Attendant care services, per 15 min

$41.9M

79K claims · 56.1%

Your Cost: $532.80/claim|Median: $82.34
6.5× median
G9002Normal range

Coordinated care fee, maintenance period

$9.1M

251K claims · 12.2%

Your Cost: $36.18/claim|Median: $108.80
0.3× median
T2022Normal range

Case management, per month

$8.5M

58K claims · 11.4%

Your Cost: $148.40/claim|Median: $202.77
0.7× median
T1016Normal range

Case management, each 15 min

$4.2M

95K claims · 5.6%

Your Cost: $44.19/claim|Median: $49.62
0.9× median
S5165Normal range

Home modifications, per service

$3.7M

1,427 claims · 5.0%

Your Cost: $2,609.91/claim|Median: $2,196.32
1.2× median
S5161Normal range

Emergency response system, per month

$2.5M

72K claims · 3.4%

Your Cost: $35.46/claim|Median: $29.97
1.2× median
T1005Normal range

Respite care services, per 15 minutes

$1.9M

20K claims · 2.6%

Your Cost: $98.10/claim|Median: $71.40
1.4× median
T2040Normal range

Financial management, self-directed; per month

$948K

11K claims · 1.3%

Your Cost: $89.04/claim|Median: $108.97
0.8× median
S5170Normal range

Homemaker service, NOS, per diem

$564K

15K claims · 0.8%

Your Cost: $38.50/claim|Median: $19.89
1.9× median
H2014Normal range

Skills training & development, per 15 min

$443K

15K claims · 0.6%

Your Cost: $29.14/claim|Median: $83.88
0.3× median
A9279Top 5%

$442K

571 claims · 0.6%

Your Cost: $773.80/claim|Median: $10.45
74.0× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$291K

13K claims · 0.4%

Your Cost: $21.83/claim|Median: $17.67
1.2× median
S5160Normal range

Emergency response system, per month

$64K

1,636 claims · 0.1%

Your Cost: $39.17/claim|Median: $38.52
1.0× median

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Eastern Maine Medical Center

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$159.2M

Creative Works

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$144.1M

Similar Providers

Other top providers in Case Management

Department of Developmental Services

Southbridge, MA

$1.35B

Commonwealth of Massachusets

Beverly, MA

$1.14B

Commonwealth of Mass-dds

Hyde Park, MA

$1.10B

Community Assistance Resources & Extended Services INC

New York, NY

$1.04B

Stavros Center for Independent Living Inc.

Amherst, MA

$1.04B

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