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

EL PARAISO

Case Management·LOS LUNAS, NM·NPI: 1982814620Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.9M is at the 25th percentile among 137 Case Management providers.

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

Total Paid

$40.9M

$40,933,574

Total Claims

219K

Beneficiaries

40K

5.5 claims/patient

Avg Cost/Claim

$187

Monthly Spending Trend

Yearly Spending

2018
$4.1M
-9%
2019
$3.8M
+24%
2020
$4.7M
+11%
2021
$5.2M
+18%
2022
$6.2M
+21%
2023
$7.5M
+27%
2024
$9.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (99509 (Home visit, assistance w/ ADLs)) accounts for 67% of total spending.

99509Top 5%

Home visit, assistance w/ ADLs

$27.6M

80K claims · 67.4%

Your Cost: $346.43/claim|Median: $51.71
6.7× median
S5125Normal range

Attendant care services, per 15 min

$6.3M

65K claims · 15.4%

Your Cost: $97.02/claim|Median: $82.34
1.2× median
T1019Normal range

Personal care services, per 15 min

$3.5M

56K claims · 8.5%

Your Cost: $61.88/claim|Median: $82.47
0.8× median
G9006Normal range

Coordination of long-term care services, per hour

$3.4M

16K claims · 8.4%

Your Cost: $213.49/claim|Median: $204.93
1.0× median
S5110Top 5%

Home care training, family; per 15 min

$115K

391 claims · 0.3%

Your Cost: $294.09/claim|Median: $74.36
4.0× median
S9999Top 10%

$47K

2,368 claims · 0.1%

Your Cost: $19.84/claim|Median: $5.38
3.7× median