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VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY

Psychiatry & Neurology, Psychiatry·PAW PAW, MI·NPI: 1003878554Share

Compared to Psychiatry & Neurology, Psychiatry Peers

Total spending distribution among 15 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.5M is at the 90th percentile among 15 Psychiatry & Neurology, Psychiatry providers.

Above 90th percentile for this specialty — higher spending than 13 of 15 peers

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

Total Paid

$43.5M

$43,465,323

Total Claims

241K

Beneficiaries

127K

1.9 claims/patient

Avg Cost/Claim

$180

Monthly Spending Trend

Yearly Spending

2018
$7.5M
-3%
2019
$7.3M
-35%
2020
$4.7M
+5%
2021
$5.0M
+11%
2022
$5.5M
+25%
2023
$6.9M
-4%
2024
$6.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 42 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 27% of total spending.

T1017Top 5%

Targeted case management, per 15 min

$11.6M

36K claims · 26.7%

Your Cost: $323.49/claim|Median: $69.56
4.7× median
90834Top 5%

Psychotherapy, 45 minutes

$5.0M

31K claims · 11.5%

Your Cost: $159.68/claim|Median: $63.65
2.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$4.8M

35K claims · 11.1%

Your Cost: $136.13/claim|Median: $96.24
1.4× median
H0039Normal range

Assertive community treatment, per diem

$3.4M

21K claims · 7.9%

Your Cost: $164.87/claim|Median: $132.62
1.2× median
90837Top 1%

Psychotherapy, 60 minutes

$1.8M

5,537 claims · 4.2%

Your Cost: $326.19/claim|Median: $85.66
3.8× median
90791Top 5%

Psychiatric diagnostic evaluation

$1.8M

5,553 claims · 4.1%

Your Cost: $318.26/claim|Median: $99.21
3.2× median
H0032Top 10%

Mental health service plan development

$1.7M

6,809 claims · 3.9%

Your Cost: $249.57/claim|Median: $80.64
3.1× median
H2030Top 25%

Mental health clubhouse services, per 15 minutes

$1.6M

13K claims · 3.8%

Your Cost: $130.16/claim|Median: $73.58
1.8× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$1.6M

5,144 claims · 3.7%

Your Cost: $314.56/claim|Median: $76.05
4.1× median
H2014Top 25%

Skills training & development, per 15 min

$1.4M

8,420 claims · 3.1%

Your Cost: $161.61/claim|Median: $83.88
1.9× median
H2021Top 25%

Community-based wrap-around services, per 15 min

$1.3M

3,013 claims · 2.9%

Your Cost: $416.04/claim|Median: $169.11
2.5× median
T1016Top 10%

Case management, each 15 min

$1.1M

4,745 claims · 2.6%

Your Cost: $241.16/claim|Median: $49.62
4.9× median
H2000Top 10%

Comprehensive multidisciplinary evaluation

$900K

3,602 claims · 2.1%

Your Cost: $249.75/claim|Median: $114.71
2.2× median
H2023Normal range

Supported employment, per 15 min

$813K

10K claims · 1.9%

Your Cost: $80.25/claim|Median: $103.94
0.8× median
90832Top 25%

Psychotherapy, 30 minutes

$701K

8,248 claims · 1.6%

Your Cost: $84.97/claim|Median: $41.28
2.1× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$654K

6,754 claims · 1.5%

Your Cost: $96.88/claim|Median: $53.41
1.8× median
T1023Top 10%

Screening to determine appropriateness of consideration for program

$543K

1,448 claims · 1.2%

Your Cost: $375.00/claim|Median: $106.70
3.5× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$528K

8,421 claims · 1.2%

Your Cost: $62.72/claim|Median: $37.81
1.7× median
T1005Normal range

Respite care services, per 15 minutes

$366K

4,922 claims · 0.8%

Your Cost: $74.45/claim|Median: $71.40
1.0× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$354K

1,399 claims · 0.8%

Your Cost: $252.98/claim|Median: $108.91
2.3× median
H0002Top 25%

Behavioral health screening

$353K

2,825 claims · 0.8%

Your Cost: $124.89/claim|Median: $38.77
3.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$307K

4,623 claims · 0.7%

Your Cost: $66.48/claim|Median: $9.56
7.0× median
90847Top 10%

Family psychotherapy with patient, 50 min

$302K

1,668 claims · 0.7%

Your Cost: $181.19/claim|Median: $77.33
2.3× median
90853Normal range

Group psychotherapy

$161K

4,748 claims · 0.4%

Your Cost: $33.81/claim|Median: $25.02
1.4× median
H0001Normal range

Alcohol and/or drug assessment

$66K

859 claims · 0.2%

Your Cost: $76.40/claim|Median: $94.22
0.8× median
97530Top 1%

Therapeutic activities, each 15 min

$54K

274 claims · 0.1%

Your Cost: $196.07/claim|Median: $33.11
5.9× median
90839Top 10%

Psychotherapy for crisis, first 60 min

$43K

229 claims · 0.1%

Your Cost: $188.79/claim|Median: $83.98
2.2× median
S5111Top 5%

Home care training, family member, per session

$34K

114 claims · 0.1%

Your Cost: $300.00/claim|Median: $87.13
3.4× median
T1007Normal range

Alcohol/drug services, treatment plan review

$32K

497 claims · 0.1%

Your Cost: $63.74/claim|Median: $64.10
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$25K

649 claims · 0.1%

Your Cost: $38.86/claim|Median: $25.06
1.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$18K

613 claims · 0.0%

Your Cost: $30.04/claim|Median: $55.04
0.5× median
96112Top 1%

Developmental test administration

$17K

30 claims · 0.0%

Your Cost: $560.00/claim|Median: $102.95
5.4× median
H0046Normal range

Mental health services, not otherwise specified

$14K

320 claims · 0.0%

Your Cost: $45.00/claim|Median: $85.02
0.5× median
96113Top 1%

Developmental test admin, each additional 30 min

$11K

14 claims · 0.0%

Your Cost: $820.00/claim|Median: $77.06
10.6× median
96101Top 5%

$9K

15 claims · 0.0%

Your Cost: $584.67/claim|Median: $196.08
3.0× median
96137Top 5%

Psychological/neuropsychological testing, each additional 30 min

$8K

14 claims · 0.0%

Your Cost: $577.13/claim|Median: $92.96
6.2× median
T1001Top 5%

Nursing assessment/evaluation, per visit

$8K

30 claims · 0.0%

Your Cost: $255.00/claim|Median: $49.05
5.2× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$5K

279 claims · 0.0%

Your Cost: $16.82/claim|Median: $100.49
0.2× median
H2011Normal range

Crisis intervention service, per 15 minutes

$4K

29 claims · 0.0%

Your Cost: $153.45/claim|Median: $215.80
0.7× median
96136Top 5%

Psychological/neuropsychological testing, first 30 min

$1K

14 claims · 0.0%

Your Cost: $95.51/claim|Median: $30.49
3.1× median
99215Normal range

Office/outpatient visit, high complexity

$757

13 claims · 0.0%

Your Cost: $58.22/claim|Median: $74.09
0.8× median
T1040Normal range

Medicaid certified CCBHC services

$0

3,222 claims · 0.0%

Your Cost: $0.00/claim|Median: $130.29

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