Compared to Case Management Peers
Total spending distribution among 137 providers in this specialty
This provider's total spending of $145.2M is at the 50th percentile among 137 Case Management providers.
Total Paid
$145.2M
$145,211,742
Total Claims
2.4M
Beneficiaries
149K
16.3 claims/patient
Avg Cost/Claim
$60
#754 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Reliance Community Care Partners is a Case Management provider based in Grand Rapids, MI. From the 2018–2024 period, this provider received $145.2M in Medicaid payments across 2.4M 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 $145.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,151 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 18 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 35% of total spending.
$50.4M
928K claims
$54.32
$96.24
Comprehensive community support services, per 15 min
$50.4M
928K claims · 34.7%
$42.2M
1.0M claims
$40.60
$321.53
Comprehensive community support services, per 15 min
$42.2M
1.0M claims · 29.1%
Case management, per month
$28.8M
64K claims · 19.8%
$11.6M
27K claims
$432.37
$402.76
Private duty/independent nursing service(s)
$11.6M
27K claims · 8.0%
$5.9M
126K claims
$46.55
$1,051.57
Residential care, NOS; per diem
$5.9M
126K claims · 4.0%
$1.9M
14K claims
$140.55
$29.37
Non-emergency wheelchair van transport
$1.9M
14K claims · 1.3%
Homemaker service, NOS, per diem
$1.3M
179K claims · 0.9%
$891K
13K claims
$68.36
$67.58
Day care services, adult, per half day
$891K
13K claims · 0.6%
$459K
431 claims · 0.3%
$456K
4K claims
$115.35
$124.39
Waiver services, NOS; per 15 min
$456K
4K claims · 0.3%
RN services, per 15 minutes
$439K
9K claims · 0.3%
$313K
4K claims
$86.39
$89.79
Enteral formula, nutritionally complete with fiber, per 100 calories
$313K
4K claims · 0.2%
$209K
8K claims
$25.33
$29.97
Emergency response system, per month
$209K
8K claims · 0.1%
LPN/LVN services, per 15 minutes
$187K
4K claims · 0.1%
Case management, each 15 min
$79K
1K claims · 0.1%
$48K
4K claims
$11.02
$21.33
Non-invasive prenatal screening, fetal chromosomal abnormalities
$48K
4K claims · 0.0%
$18K
139 claims
$128.40
$69.56
Targeted case management, per 15 min
$18K
139 claims · 0.0%
$16K
358 claims
$43.78
$141.34
Specialized transportation, waiver, per mile, extra
$16K
358 claims · 0.0%
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