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Detroit Area Agency on Aging

Case Management·Detroit, MI·NPI: 1104997121Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $177.6M is at the 50th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$177.6M

$177,637,743

Total Claims

2.6M

Beneficiaries

247K

10.5 claims/patient

Avg Cost/Claim

$69

#541 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Detroit Area Agency on Aging is a Case Management provider based in Detroit, MI. From the 2018–2024 period, this provider received $177.6M in Medicaid payments across 2.6M claims.

Important Context

  • ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.

Why This Matters

This provider received $177.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,204 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 155% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$13.0M
+131%
2019
$30.0M
-32%
2020
$20.5M
+21%
2021
$24.9M
-2%
2022
$24.3M
+30%
2023
$31.7M
+4%
2024
$33.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 70% of total spending.

T1019Normal range

Personal care services, per 15 min

$123.8M

1.7M claims · 69.7%

Your Cost: $71.41/claim|Median: $82.47
0.9× median
T2022Top 25%

Case management, per month

$35.8M

102K claims · 20.2%

Your Cost: $351.86/claim|Median: $202.77
1.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$4.7M

91K claims · 2.7%

Your Cost: $51.91/claim|Median: $96.24
0.5× median
S5170Normal range

Homemaker service, NOS, per diem

$4.7M

552K claims · 2.7%

Your Cost: $8.55/claim|Median: $19.89
0.4× median
S5121Normal range

Attendant care services, in-home, per 15 min

$3.4M

37K claims · 1.9%

Your Cost: $91.25/claim|Median: $111.06
0.8× median
T2003Top 25%

Non-emergency transport; encounter/trip

$2.0M

36K claims · 1.1%

Your Cost: $55.22/claim|Median: $21.70
2.5× median
S5165Normal range

Home modifications, per service

$1.9M

564 claims · 1.1%

Your Cost: $3,374.34/claim|Median: $2,196.32
1.5× median
S5161Normal range

Emergency response system, per month

$655K

27K claims · 0.4%

Your Cost: $24.64/claim|Median: $29.97
0.8× median
T2024Normal range

Supported employment, waiver, per diem

$354K

2K claims · 0.2%

Your Cost: $217.75/claim|Median: $259.38
0.8× median
G9012Normal range

Other specified case management service, per 15 minutes

$88K

723 claims · 0.0%

Your Cost: $122.36/claim|Median: $137.85
0.9× median
E0245Top 10%

$75K

1K claims · 0.0%

Your Cost: $71.21/claim|Median: $42.10
1.7× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$46K

224 claims · 0.0%

Your Cost: $205.44/claim|Median: $89.79
2.3× median
E0241Top 5%

$20K

172 claims · 0.0%

Your Cost: $118.83/claim|Median: $28.48
4.2× median
S5199Normal range

Personal care item, NOS, each

$12K

417 claims · 0.0%

Your Cost: $29.33/claim|Median: $10.82
2.7× median
E0244Top 25%

$9K

151 claims · 0.0%

Your Cost: $61.68/claim|Median: $32.11
1.9× median
S5160Normal range

Emergency response system, per month

$5K

197 claims · 0.0%

Your Cost: $27.58/claim|Median: $38.52
0.7× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$956

13 claims · 0.0%

Your Cost: $73.54/claim|Median: $28.63
2.6× median
A4335Top 5%

Incontinence supply, miscellaneous

$890

12 claims · 0.0%

Your Cost: $74.17/claim|Median: $5.54
13.4× median

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