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MOUNTAIN COMPREHENSIVE CARE CENTER

Case Management·PRESTONSBURG, KY·NPI: 1881890606Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $65.0M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$65.0M

$65,034,053

Total Claims

687K

Beneficiaries

78K

8.8 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$9.1M
+4%
2019
$9.5M
-4%
2020
$9.2M
+5%
2021
$9.6M
-3%
2022
$9.3M
+4%
2023
$9.7M
-11%
2024
$8.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 54% of total spending.

T1019Normal range

Personal care services, per 15 min

$35.3M

341K claims · 54.2%

Your Cost: $103.56/claim|Median: $82.47
1.3× median
97535Top 10%

Self-care/home management training, per 15 minutes

$15.0M

204K claims · 23.1%

Your Cost: $73.48/claim|Median: $18.18
4.0× median
T2022Normal range

Case management, per month

$5.0M

18K claims · 7.7%

Your Cost: $279.25/claim|Median: $202.77
1.4× median
S5108Normal range

Home care training to home care client, per 15 minutes

$4.6M

51K claims · 7.1%

Your Cost: $91.35/claim|Median: $107.36
0.9× median
T2040Normal range

Financial management, self-directed; per month

$2.0M

20K claims · 3.1%

Your Cost: $103.06/claim|Median: $108.97
0.9× median
T1005Normal range

Respite care services, per 15 minutes

$1.6M

30K claims · 2.5%

Your Cost: $53.26/claim|Median: $71.40
0.7× median
T2021Normal range

Day habilitation, waiver; per 15 min

$1.4M

23K claims · 2.1%

Your Cost: $59.01/claim|Median: $150.51
0.4× median
T2016Normal range

Habilitation, residential, waiver; per diem

$147K

904 claims · 0.2%

Your Cost: $162.86/claim|Median: $331.94
0.5× median