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The Whole Person, Inc.

Case Management·Kansas City, MO·NPI: 1225168933Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $202.3M is at the 50th percentile among 137 Case Management providers.

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

Total Paid

$202.3M

$202,295,022

Total Claims

2.8M

Beneficiaries

153K

18.0 claims/patient

Avg Cost/Claim

$73

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

🔍 Analysis

Provider Overview

The Whole Person, Inc. is a Case Management provider based in Kansas City, MO. From the 2018–2024 period, this provider received $202.3M in Medicaid payments across 2.8M 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 $202.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 25,286 Medicaid beneficiaries for a full year at average per-enrollee costs.

1% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$27.5M
+1%
2019
$27.8M
+8%
2020
$30.1M
-4%
2021
$28.9M
+4%
2022
$30.1M
+2%
2023
$30.8M
-12%
2024
$27.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 72% of total spending.

T1019Normal range

Personal care services, per 15 min

$146.5M

2.1M claims · 72.4%

Your Cost: $70.59/claim|Median: $82.47
0.9× median
S5125Normal range

Attendant care services, per 15 min

$35.9M

416K claims · 17.8%

Your Cost: $86.39/claim|Median: $82.34
1.1× median
T2025Normal range

Waiver services, NOS; per 15 min

$15.3M

178K claims · 7.6%

Your Cost: $85.80/claim|Median: $124.39
0.7× median
T2040Normal range

Financial management, self-directed; per month

$2.8M

48K claims · 1.4%

Your Cost: $58.57/claim|Median: $108.97
0.5× median
T1001Normal range

Nursing assessment/evaluation, per visit

$1.4M

30K claims · 0.7%

Your Cost: $46.76/claim|Median: $49.05
0.9× median
T1028Normal range

Assessment of home, physical & family environments

$320K

5K claims · 0.2%

Your Cost: $70.79/claim|Median: $81.30
0.9× median
T2028Normal range

Specialized supply, NOS; per unit

$32K

348 claims · 0.0%

Your Cost: $90.56/claim|Median: $79.30
1.1× median