Compared to Case Management Peers
Total spending distribution among 137 providers in this specialty
This provider's total spending of $146.4M is at the 50th percentile among 137 Case Management providers.
Total Paid
$146.4M
$146,352,462
Total Claims
4.5M
Beneficiaries
797K
5.6 claims/patient
Avg Cost/Claim
$33
#741 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Stavros Center for Independent Living, Inc. is a Case Management provider based in Amherst, MA. From the 2018–2024 period, this provider received $146.4M in Medicaid payments across 4.5M 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 $146.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,294 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 8 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 70% of total spending.
$101.9M
3.8M claims
$26.86
$82.47
Personal care services, per 15 min
$101.9M
3.8M claims · 69.7%
Case management, per month
$26.0M
462K claims · 17.7%
$7.9M
134K claims
$58.82
$296.27
Personal care services, per diem
$7.9M
134K claims · 5.4%
$4.8M
31K claims · 3.3%
Home visit, assistance w/ ADLs
$2.5M
39K claims · 1.7%
$1.7M
14K claims
$119.22
$48.38
Medical home program, comprehensive care management
$1.7M
14K claims · 1.2%
$1.4M
13K claims
$111.01
$106.70
Screening to determine appropriateness of consideration for program
$1.4M
13K claims · 1.0%
$118K
6K claims
$20.51
$85.02
Mental health services, not otherwise specified
$118K
6K claims · 0.1%
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