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ERIE COUNTY CARE MANAGEMENT

Case Management·ERIE, PA·NPI: 1902023005Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.4M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-012024-09(81 months)

Extreme procedure concentration — 69% of $43.4M billed through just 2 codes

Total Paid

$43.4M

$43,409,373

Total Claims

460K

Beneficiaries

166K

2.8 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$4.9M
+3%
2019
$5.0M
+5%
2020
$5.3M
-1%
2021
$5.3M
+10%
2022
$5.8M
+58%
2023
$9.1M
-12%
2024
$8.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 69% of total spending.

W7210Normal range

Waiver service, state-specific code

$29.8M

325K claims · 68.6%

Your Cost: $91.73/claim|Median: $80.31
1.1× median
T1017Normal range

Targeted case management, per 15 min

$13.6M

135K claims · 31.4%

Your Cost: $100.82/claim|Median: $69.56
1.4× median