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Hope Network Behavioral Health Services

Psychiatry & Neurology, Child & Adolescent Psychiatry·Nunica, MI·NPI: 1043295934Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$186.6M

$186,629,799

Total Claims

535K

Beneficiaries

78K

6.9 claims/patient

Avg Cost/Claim

$349

#508 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Hope Network Behavioral Health Services is a Psychiatry & Neurology, Child & Adolescent Psychiatry provider based in Nunica, MI. From the 2018–2024 period, this provider received $186.6M in Medicaid payments across 535K claims.

Why This Matters

This provider received $186.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 23,328 Medicaid beneficiaries for a full year at average per-enrollee costs.

27% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$23.0M
+1%
2019
$23.3M
+11%
2020
$25.9M
+6%
2021
$27.4M
+3%
2022
$28.2M
+6%
2023
$29.7M
-2%
2024
$29.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 69% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$128.4M

189K claims · 68.8%

Your Cost: $679.03/claim|Median: $321.53
2.1× median
T1020Normal range

Personal care services, per diem

$22.8M

145K claims · 12.2%

Your Cost: $157.11/claim|Median: $296.27
0.5× median
H0018Normal range

Behavioral health; short-term residential, per diem

$14.7M

16K claims · 7.9%

Your Cost: $926.39/claim|Median: $467.51
2.0× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$9.4M

81K claims · 5.0%

Your Cost: $115.35/claim|Median: $167.38
0.7× median
T1017Normal range

Targeted case management, per 15 min

$3.6M

34K claims · 1.9%

Your Cost: $106.86/claim|Median: $69.56
1.5× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$2.0M

16K claims · 1.1%

Your Cost: $128.94/claim|Median: $146.45
0.9× median
0365TTop 10%

$1.4M

6K claims · 0.8%

Your Cost: $225.45/claim|Median: $106.05
2.1× median
99214Top 5%

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

$623K

3K claims · 0.3%

Your Cost: $182.61/claim|Median: $53.41
3.4× median
S9976Normal range

$560K

10K claims · 0.3%

Your Cost: $58.21/claim|Median: $64.43
0.9× median
90832Top 5%

Psychotherapy, 30 minutes

$543K

4K claims · 0.3%

Your Cost: $148.37/claim|Median: $41.28
3.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$485K

4K claims · 0.3%

Your Cost: $113.35/claim|Median: $9.56
11.9× median
90834Top 10%

Psychotherapy, 45 minutes

$334K

3K claims · 0.2%

Your Cost: $115.04/claim|Median: $63.65
1.8× median
90837Top 25%

Psychotherapy, 60 minutes

$310K

2K claims · 0.2%

Your Cost: $124.27/claim|Median: $85.66
1.4× median
0364TNormal range

$171K

6K claims · 0.1%

Your Cost: $26.94/claim|Median: $21.31
1.3× median
T2023Normal range

Community transition, waiver; per service

$168K

682 claims · 0.1%

Your Cost: $246.70/claim|Median: $300.13
0.8× median
0369TNormal range

$163K

2K claims · 0.1%

Your Cost: $74.48/claim|Median: $102.36
0.7× median
0368TNormal range

$157K

3K claims · 0.1%

Your Cost: $56.27/claim|Median: $44.63
1.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$146K

2K claims · 0.1%

Your Cost: $65.77/claim|Median: $55.04
1.2× median
97156Normal range

$121K

2K claims · 0.1%

Your Cost: $79.26/claim|Median: $88.65
0.9× median
99213Top 1%

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

$121K

651 claims · 0.1%

Your Cost: $185.34/claim|Median: $37.81
4.9× median
90853Normal range

Group psychotherapy

$108K

3K claims · 0.1%

Your Cost: $38.80/claim|Median: $25.02
1.6× median
99215Top 5%

Office/outpatient visit, high complexity

$91K

310 claims · 0.0%

Your Cost: $292.54/claim|Median: $74.09
4.0× median
T1002Normal range

RN services, per 15 minutes

$64K

1K claims · 0.0%

Your Cost: $50.75/claim|Median: $37.42
1.4× median
96118Top 25%

$61K

114 claims · 0.0%

Your Cost: $539.01/claim|Median: $196.66
2.7× median
T1001Top 5%

Nursing assessment/evaluation, per visit

$30K

146 claims · 0.0%

Your Cost: $204.88/claim|Median: $49.05
4.2× median
96133Normal range

$12K

75 claims · 0.0%

Your Cost: $160.21/claim|Median: $185.94
0.9× median
97151Normal range

Behavior identification assessment

$11K

89 claims · 0.0%

Your Cost: $121.39/claim|Median: $161.10
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$10K

147 claims · 0.0%

Your Cost: $69.03/claim|Median: $99.21
0.7× median
96132Top 25%

$9K

77 claims · 0.0%

Your Cost: $122.34/claim|Median: $70.53
1.7× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$3K

12 claims · 0.0%

Your Cost: $217.32/claim|Median: $84.03
2.6× median

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