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Monadnock Developmental Services

Case Management·Keene, NH·NPI: 1275672057Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $184.1M is at the 50th percentile among 137 Case Management providers.

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

Total Paid

$184.1M

$184,126,064

Total Claims

700K

Beneficiaries

105K

6.7 claims/patient

Avg Cost/Claim

$263

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

🔍 Analysis

Provider Overview

Monadnock Developmental Services is a Case Management provider based in Keene, NH. From the 2018–2024 period, this provider received $184.1M in Medicaid payments across 700K 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 $184.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 23,015 Medicaid beneficiaries for a full year at average per-enrollee costs.

65% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$27.3M
+6%
2019
$29.0M
+5%
2020
$30.4M
+10%
2021
$33.4M
-0%
2022
$33.3M
-36%
2023
$21.2M
-55%
2024
$9.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T1020 (Personal care services, per diem)) accounts for 52% of total spending.

T1020Normal range

Personal care services, per diem

$96.4M

302K claims · 52.4%

Your Cost: $319.36/claim|Median: $296.27
1.1× median
T2021Normal range

Day habilitation, waiver; per 15 min

$38.3M

210K claims · 20.8%

Your Cost: $182.19/claim|Median: $150.51
1.2× median
T2025Top 5%

Waiver services, NOS; per 15 min

$20.9M

14K claims · 11.4%

Your Cost: $1,534.44/claim|Median: $124.39
12.3× median
H2023Normal range

Supported employment, per 15 min

$7.0M

55K claims · 3.8%

Your Cost: $126.69/claim|Median: $103.94
1.2× median
T2022Normal range

Case management, per month

$6.9M

27K claims · 3.8%

Your Cost: $258.46/claim|Median: $202.77
1.3× median
T2023Normal range

Community transition, waiver; per service

$6.7M

27K claims · 3.6%

Your Cost: $242.70/claim|Median: $300.13
0.8× median
T1024Top 25%

Evaluation & treatment, integrated specialty team

$4.2M

17K claims · 2.3%

Your Cost: $251.02/claim|Median: $119.08
2.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.6M

32K claims · 1.4%

Your Cost: $80.39/claim|Median: $96.24
0.8× median
T1005Normal range

Respite care services, per 15 minutes

$1.1M

16K claims · 0.6%

Your Cost: $66.49/claim|Median: $71.40
0.9× median
T1016Top 10%

Case management, each 15 min

$163K

535 claims · 0.1%

Your Cost: $304.96/claim|Median: $49.62
6.2× median
H2011Normal range

Crisis intervention service, per 15 minutes

$28K

286 claims · 0.0%

Your Cost: $96.38/claim|Median: $215.80
0.5× median