Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

YORK ADAMS MH MR

Case Management·YORK, PA·NPI: 1962513002Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.2M is at the below 25th percentile among 137 Case Management providers.

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

Total Paid

$26.2M

$26,206,589

Total Claims

376K

Beneficiaries

159K

2.4 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+2%
2019
$3.3M
+10%
2020
$3.7M
+24%
2021
$4.5M
-10%
2022
$4.1M
+4%
2023
$4.2M
-27%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 45% of total spending.

W7210Normal range

Waiver service, state-specific code

$11.9M

179K claims · 45.4%

Your Cost: $66.46/claim|Median: $80.31
0.8× median
T1017Normal range

Targeted case management, per 15 min

$7.4M

102K claims · 28.1%

Your Cost: $71.89/claim|Median: $69.56
1.0× median
T1016Normal range

Case management, each 15 min

$5.8M

73K claims · 22.0%

Your Cost: $78.99/claim|Median: $49.62
1.6× median
W0016Normal range

$1.2M

22K claims · 4.6%

Your Cost: $55.48/claim|Median: $72.46
0.8× median