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

⚖️ Compare🖨️ Print Report

COMMUNITY LIVING SERVICES OF OAKLAND COUNTY

Community/Behavioral Health·FERNDALE, MI·NPI: 1043368558Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $113.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$113.0M

$113,020,989

Total Claims

1.1M

Beneficiaries

209K

5.5 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$14.7M
-14%
2019
$12.6M
-5%
2020
$12.0M
+22%
2021
$14.7M
+18%
2022
$17.3M
+19%
2023
$20.6M
+3%
2024
$21.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 53% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$59.9M

687K claims · 53.0%

Your Cost: $87.22/claim|Median: $96.24
0.9× median
T1017Top 10%

Targeted case management, per 15 min

$11.7M

41K claims · 10.3%

Your Cost: $285.68/claim|Median: $69.56
4.1× median
T1016Top 10%

Case management, each 15 min

$9.9M

49K claims · 8.8%

Your Cost: $200.79/claim|Median: $49.62
4.0× median
H0043Normal range

Supported housing, per diem

$7.5M

28K claims · 6.6%

Your Cost: $270.12/claim|Median: $164.87
1.6× median
T1005Normal range

Respite care services, per 15 minutes

$6.5M

71K claims · 5.7%

Your Cost: $91.30/claim|Median: $71.40
1.3× median
T2025Normal range

Waiver services, NOS; per 15 min

$3.3M

68K claims · 3.0%

Your Cost: $49.17/claim|Median: $124.39
0.4× median
H2014Normal range

Skills training & development, per 15 min

$3.1M

50K claims · 2.8%

Your Cost: $62.64/claim|Median: $83.88
0.7× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$2.7M

15K claims · 2.4%

Your Cost: $178.13/claim|Median: $167.38
1.1× median
0365TTop 25%

Adaptive behavior treatment, each additional thirty minutes

$1.3M

7,081 claims · 1.1%

Your Cost: $178.87/claim|Median: $106.05
1.7× median
H2023Normal range

Supported employment, per 15 min

$1.0M

28K claims · 0.9%

Your Cost: $36.77/claim|Median: $103.94
0.4× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$674K

3,976 claims · 0.6%

Your Cost: $169.51/claim|Median: $146.45
1.2× median
H0032Top 25%

Mental health service plan development

$618K

3,607 claims · 0.5%

Your Cost: $171.22/claim|Median: $80.64
2.1× median
S0280Top 1%

Medical home program, comprehensive care management

$602K

1,774 claims · 0.5%

Your Cost: $339.56/claim|Median: $48.38
7.0× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$545K

11K claims · 0.5%

Your Cost: $48.10/claim|Median: $100.49
0.5× median
T2027Normal range

Specialized transportation, waiver, per trip, extra

$530K

4,582 claims · 0.5%

Your Cost: $115.60/claim|Median: $88.93
1.3× median
A0080Normal range

$497K

48K claims · 0.4%

Your Cost: $10.45/claim|Median: $26.51
0.4× median
T2003Top 25%

Non-emergency transport; encounter/trip

$481K

7,207 claims · 0.4%

Your Cost: $66.73/claim|Median: $21.70
3.1× median
90834Top 25%

Psychotherapy, 45 minutes

$470K

4,612 claims · 0.4%

Your Cost: $101.94/claim|Median: $63.65
1.6× median
H0031Top 5%

Mental health assessment by non-physician

$461K

1,373 claims · 0.4%

Your Cost: $335.87/claim|Median: $96.18
3.5× median
S5151Normal range

Unskilled respite care, per diem

$305K

1,301 claims · 0.3%

Your Cost: $234.18/claim|Median: $249.18
0.9× median
90847Top 25%

Family psychotherapy with patient, 50 min

$261K

2,182 claims · 0.2%

Your Cost: $119.51/claim|Median: $77.33
1.5× median
0364TTop 25%

$205K

7,100 claims · 0.2%

Your Cost: $28.86/claim|Median: $21.31
1.4× median
0369TNormal range

$172K

1,718 claims · 0.2%

Your Cost: $100.39/claim|Median: $102.36
1.0× median
90837Top 25%

Psychotherapy, 60 minutes

$87K

782 claims · 0.1%

Your Cost: $111.73/claim|Median: $85.66
1.3× median
99213Top 5%

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

$78K

637 claims · 0.1%

Your Cost: $122.25/claim|Median: $37.81
3.2× median
0368TNormal range

$68K

1,737 claims · 0.1%

Your Cost: $39.22/claim|Median: $44.63
0.9× median
0370TTop 10%

$47K

381 claims · 0.0%

Your Cost: $124.53/claim|Median: $88.49
1.4× median
97156Normal range

$7K

108 claims · 0.0%

Your Cost: $64.81/claim|Median: $88.65
0.7× median

Other Top Providers in Michigan

View all →

Guardiantrac. LLC

Community/Behavioral Health

$2.68B

Centria Healthcare LLC

Home Health

$590.6M

Integra Partners LLC

Orthotic Fitter

$422.3M

Community Mental Health Authority of Clinton Eaton Ingham Counties

Clinic/Center Mental Health (Including Community

$368.4M

Macomb Oakland Regional Center Inc.

Community/Behavioral Health

$342.6M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

← All providersAll providers in Michigan →How we detect fraud →