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MYSTIC VALLEY ELDER SERVICES, INC.

Case Management·MALDEN, MA·NPI: 1922127935Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.0M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-10(81 months)

Total Paid

$24.0M

$23,974,317

Total Claims

993K

Beneficiaries

105K

9.5 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+29%
2019
$2.8M
-22%
2020
$2.2M
+45%
2021
$3.2M
+20%
2022
$3.9M
+28%
2023
$5.0M
-7%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 28% of total spending.

T1019Normal range

Personal care services, per 15 min

$6.7M

120K claims · 27.8%

Your Cost: $55.59/claim|Median: $82.47
0.7× median
S5130Normal range

Homemaker service, NOS; per 15 min

$6.1M

84K claims · 25.5%

Your Cost: $72.54/claim|Median: $48.76
1.5× median
S5170Normal range

Homemaker service, NOS, per diem

$3.4M

329K claims · 14.0%

Your Cost: $10.20/claim|Median: $19.89
0.5× median
S5102Normal range

Day care services, adult; per 15 min

$2.6M

41K claims · 11.0%

Your Cost: $64.84/claim|Median: $81.10
0.8× median
T2003Top 25%

Non-emergency transport; encounter/trip

$1.8M

39K claims · 7.6%

Your Cost: $46.31/claim|Median: $21.70
2.1× median
S5175Normal range

Laundry service, per occasion

$1.2M

46K claims · 4.8%

Your Cost: $25.44/claim|Median: $30.40
0.8× median
S5161Normal range

Emergency response system, per month

$810K

31K claims · 3.4%

Your Cost: $26.47/claim|Median: $29.97
0.9× median
T1020Normal range

Personal care services, per diem

$516K

288K claims · 2.2%

Your Cost: $1.79/claim|Median: $296.27
0.0× median
T2022Normal range

Case management, per month

$423K

7,231 claims · 1.8%

Your Cost: $58.52/claim|Median: $202.77
0.3× median
S5135Normal range

Companion care, adult, per diem

$181K

3,631 claims · 0.8%

Your Cost: $49.97/claim|Median: $52.25
1.0× median
S5101Normal range

Day care services, adult, per half day

$125K

2,985 claims · 0.5%

Your Cost: $41.84/claim|Median: $66.43
0.6× median
S5165Normal range

Home modifications, per service

$119K

727 claims · 0.5%

Your Cost: $163.45/claim|Median: $2,196.32
0.1× median
99339Normal range

$22K

539 claims · 0.1%

Your Cost: $41.56/claim|Median: $37.37
1.1× median
S5120Normal range

Chore services, per 15 min

$14K

125 claims · 0.1%

Your Cost: $109.16/claim|Median: $70.19
1.6× median
S5100Normal range

Day care services, adult, per half day

$7K

147 claims · 0.0%

Your Cost: $50.77/claim|Median: $67.58
0.8× median
99437Normal range

$2K

70 claims · 0.0%

Your Cost: $25.14/claim|Median: $8.33
3.0× median
S5160Normal range

Emergency response system, per month

$501

13 claims · 0.0%

Your Cost: $38.53/claim|Median: $38.52
1.0× median

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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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