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Service Access and Management INC

Community/Behavioral Health·Reading, PA·NPI: 1356470207Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $128.9M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$128.9M

$128,945,803

Total Claims

1.4M

Beneficiaries

452K

3.1 claims/patient

Avg Cost/Claim

$94

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

🔍 Analysis

Provider Overview

Service Access and Management INC is a Community/Behavioral Health provider based in Reading, PA. From the 2018–2024 period, this provider received $128.9M in Medicaid payments across 1.4M claims.

Why This Matters

This provider received $128.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,118 Medicaid beneficiaries for a full year at average per-enrollee costs.

78% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$12.3M
+9%
2019
$13.4M
+18%
2020
$15.8M
+25%
2021
$19.9M
+11%
2022
$22.0M
+8%
2023
$23.7M
-8%
2024
$21.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 60% of total spending.

W7210Normal range

Waiver service, state-specific code

$76.9M

873K claims · 59.6%

Your Cost: $88.02/claim|Median: $80.31
1.1× median
T1017Normal range

Targeted case management, per 15 min

$44.2M

426K claims · 34.3%

Your Cost: $103.82/claim|Median: $69.56
1.5× median
T1016Normal range

Case management, each 15 min

$4.6M

51K claims · 3.5%

Your Cost: $90.33/claim|Median: $49.62
1.8× median
T2024Normal range

Supported employment, waiver, per diem

$1.6M

5K claims · 1.2%

Your Cost: $292.64/claim|Median: $259.38
1.1× median
W0016Top 25%

$1.3M

14K claims · 1.0%

Your Cost: $91.23/claim|Median: $72.46
1.3× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$366K

3K claims · 0.3%

Your Cost: $112.84/claim|Median: $55.04
2.0× median
W1011Normal range

$14K

160 claims · 0.0%

Your Cost: $88.37/claim|Median: $53.96
1.6× median
99407Top 1%

$2K

27 claims · 0.0%

Your Cost: $57.27/claim|Median: $13.29
4.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$0

256 claims · 0.0%

Your Cost: $0.00/claim|Median: $215.80
H0030Normal range

$0

4K claims · 0.0%

Your Cost: $0.00/claim|Median: $20.62