Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Colbert County Health Dept Fp Cm

Case Management·Sheffield, AL·NPI: 1720121817SharePrint ReportML Risk: 83%

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $231K is at the below 25th percentile among 137 Case Management providers.

Total Paid

$231K

$230,925

Total Claims

5K

Beneficiaries

2K

2.2 claims/patient

Avg Cost/Claim

$43

🔍 Analysis

Provider Overview

Colbert County Health Dept Fp Cm is a Case Management provider based in Sheffield, AL. From the 2018–2024 period, this provider received $231K in Medicaid payments across 5K claims serving 2K beneficiaries.

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.
  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.
100% growthsince first billing year

Yearly Spending

2018
$117K
-2%
2019
$114K
-100%
2024
$0

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 82% of total spending.

Targeted case management, per 15 min

$189K

5K claims · 82.0%

$29K

395 claims · 12.5%

$13K

330 claims · 5.5%

Coordination of long-term care services, per month

$0

16 claims · 0.0%