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NORTHEAST ARC, INC.

Case Management·DANVERS, MA·NPI: 1942424692Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.4M is at the 25th percentile among 137 Case Management providers.

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

Total Paid

$37.4M

$37,358,767

Total Claims

592K

Beneficiaries

386K

1.5 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+136%
2019
$5.9M
+119%
2020
$12.9M
-62%
2021
$4.9M
-15%
2022
$4.1M
-7%
2023
$3.8M
-18%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 52% of total spending.

T2022Normal range

Case management, per month

$19.3M

376K claims · 51.6%

Your Cost: $51.20/claim|Median: $202.77
0.3× median
T1019Normal range

Personal care services, per 15 min

$13.2M

179K claims · 35.2%

Your Cost: $73.55/claim|Median: $82.47
0.9× median
99456Top 1%

$3.7M

21K claims · 9.8%

Your Cost: $175.28/claim|Median: $151.24
1.2× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$813K

7,394 claims · 2.2%

Your Cost: $109.89/claim|Median: $106.70
1.0× median
T1020Normal range

Personal care services, per diem

$376K

6,376 claims · 1.0%

Your Cost: $58.91/claim|Median: $296.27
0.2× median
99509Normal range

Home visit, assistance w/ ADLs

$48K

1,061 claims · 0.1%

Your Cost: $44.87/claim|Median: $51.71
0.9× median
H0046Normal range

Mental health services, not otherwise specified

$13K

1,043 claims · 0.0%

Your Cost: $12.66/claim|Median: $85.02
0.1× median
S0280Normal range

Medical home program, comprehensive care management

$5K

43 claims · 0.0%

Your Cost: $120.00/claim|Median: $48.38
2.5× median