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BERRIEN MENTAL HEALTH AUTHORITY

Psychiatry & Neurology, Psychiatry·BENTON HARBOR, MI·NPI: 1033280763Share

Compared to Psychiatry & Neurology, Psychiatry Peers

Total spending distribution among 15 providers in this specialty

P25MedianP75P90

This provider's total spending of $67.5M 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:2018-012024-12(84 months)

Total Paid

$67.5M

$67,461,483

Total Claims

381K

Beneficiaries

231K

1.7 claims/patient

Avg Cost/Claim

$177

Monthly Spending Trend

Yearly Spending

2018
$10.4M
-13%
2019
$9.0M
-15%
2020
$7.6M
+16%
2021
$8.9M
+10%
2022
$9.7M
+15%
2023
$11.2M
-4%
2024
$10.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 45 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 19% of total spending.

T1017Top 10%

Targeted case management, per 15 min

$12.8M

48K claims · 19.0%

Your Cost: $269.85/claim|Median: $69.56
3.9× median
T1016Top 5%

Case management, each 15 min

$12.2M

27K claims · 18.1%

Your Cost: $456.15/claim|Median: $49.62
9.2× median
99214Top 1%

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

$6.5M

29K claims · 9.7%

Your Cost: $223.35/claim|Median: $53.41
4.2× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$5.6M

16K claims · 8.3%

Your Cost: $355.72/claim|Median: $76.05
4.7× median
H0039Normal range

Assertive community treatment, per diem

$4.5M

23K claims · 6.7%

Your Cost: $196.00/claim|Median: $132.62
1.5× median
90837Top 5%

Psychotherapy, 60 minutes

$3.9M

26K claims · 5.7%

Your Cost: $151.05/claim|Median: $85.66
1.8× median
H2016Normal range

Comprehensive community support services, per 15 min

$2.9M

15K claims · 4.3%

Your Cost: $199.94/claim|Median: $321.53
0.6× median
99213Top 1%

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

$2.2M

14K claims · 3.2%

Your Cost: $155.99/claim|Median: $37.81
4.1× median
90834Top 10%

Psychotherapy, 45 minutes

$1.9M

16K claims · 2.8%

Your Cost: $120.75/claim|Median: $63.65
1.9× median
T1023Top 10%

Screening to determine appropriateness of consideration for program

$1.7M

4,695 claims · 2.6%

Your Cost: $366.48/claim|Median: $106.70
3.4× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$1.6M

4,004 claims · 2.4%

Your Cost: $404.74/claim|Median: $108.91
3.7× median
90791Top 5%

Psychiatric diagnostic evaluation

$1.5M

5,976 claims · 2.2%

Your Cost: $242.71/claim|Median: $99.21
2.4× median
H0031Top 10%

Mental health assessment by non-physician

$1.2M

4,866 claims · 1.8%

Your Cost: $245.66/claim|Median: $96.18
2.6× median
H2023Normal range

Supported employment, per 15 min

$1.1M

8,379 claims · 1.6%

Your Cost: $130.67/claim|Median: $103.94
1.3× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$970K

11K claims · 1.4%

Your Cost: $87.40/claim|Median: $129.75
0.7× median
T1020Normal range

Personal care services, per diem

$915K

15K claims · 1.4%

Your Cost: $62.71/claim|Median: $296.27
0.2× median
H2000Top 10%

Comprehensive multidisciplinary evaluation

$857K

2,443 claims · 1.3%

Your Cost: $350.93/claim|Median: $114.71
3.1× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$759K

15K claims · 1.1%

Your Cost: $49.64/claim|Median: $9.56
5.2× median
90832Top 10%

Psychotherapy, 30 minutes

$737K

8,152 claims · 1.1%

Your Cost: $90.38/claim|Median: $41.28
2.2× median
H0032Top 10%

Mental health service plan development

$709K

2,713 claims · 1.1%

Your Cost: $261.29/claim|Median: $80.64
3.2× median
90853Top 10%

Group psychotherapy

$628K

8,005 claims · 0.9%

Your Cost: $78.49/claim|Median: $25.02
3.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$453K

4,733 claims · 0.7%

Your Cost: $95.67/claim|Median: $96.24
1.0× median
99212Top 5%

Office/outpatient visit, low complexity

$314K

3,045 claims · 0.5%

Your Cost: $102.97/claim|Median: $25.06
4.1× median
H2033Top 25%

Multisystemic therapy for juveniles, per 15 minutes

$281K

634 claims · 0.4%

Your Cost: $442.85/claim|Median: $227.82
1.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$267K

5,977 claims · 0.4%

Your Cost: $44.63/claim|Median: $55.04
0.8× median
T1007Top 10%

Alcohol/drug services, treatment plan review

$247K

1,068 claims · 0.4%

Your Cost: $231.66/claim|Median: $64.10
3.6× median
H0001Normal range

Alcohol and/or drug assessment

$231K

2,665 claims · 0.3%

Your Cost: $86.84/claim|Median: $94.22
0.9× median
H0050Top 25%

$163K

2,331 claims · 0.2%

Your Cost: $69.72/claim|Median: $46.71
1.5× median
96113Top 25%

Developmental test admin, each additional 30 min

$87K

355 claims · 0.1%

Your Cost: $244.20/claim|Median: $77.06
3.2× median
T1002Top 10%

RN services, per 15 minutes

$65K

175 claims · 0.1%

Your Cost: $371.28/claim|Median: $37.42
9.9× median
96112Normal range

Developmental test administration

$48K

378 claims · 0.1%

Your Cost: $126.65/claim|Median: $102.95
1.2× median
S5111Top 5%

Home care training, family member, per session

$37K

127 claims · 0.1%

Your Cost: $289.00/claim|Median: $87.13
3.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$31K

325 claims · 0.0%

Your Cost: $95.04/claim|Median: $215.80
0.4× median
97168Top 5%

OT re-evaluation

$12K

49 claims · 0.0%

Your Cost: $239.27/claim|Median: $50.43
4.7× median
97535Top 25%

Self-care/home management training, per 15 minutes

$10K

144 claims · 0.0%

Your Cost: $68.49/claim|Median: $18.18
3.8× median
H2021Normal range

Community-based wrap-around services, per 15 min

$8K

25 claims · 0.0%

Your Cost: $300.20/claim|Median: $169.11
1.8× median
H0022Normal range

$7K

1,116 claims · 0.0%

Your Cost: $6.70/claim|Median: $32.48
0.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$7K

143 claims · 0.0%

Your Cost: $46.60/claim|Median: $24.49
1.9× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$6K

252 claims · 0.0%

Your Cost: $25.72/claim|Median: $22.44
1.1× median
99441Normal range

Telephone E/M by physician, 5-10 min

$2K

149 claims · 0.0%

Your Cost: $15.49/claim|Median: $13.30
1.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$938

1,166 claims · 0.0%

Your Cost: $0.80/claim|Median: $74.63
0.0× median
H0034Normal range

Medication training and management, per 15 min

$432

15 claims · 0.0%

Your Cost: $28.80/claim|Median: $56.90
0.5× median
T1040Normal range

Medicaid certified CCBHC services

$0

53K claims · 0.0%

Your Cost: $0.00/claim|Median: $130.29
0.0× median
80305Normal range

$0

882 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.44
H0005Normal range

Alcohol and/or drug services, group counseling

$0

465 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35

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