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NORTH COUNTRY COMMUNITY MENTAL HEALTH

Community/Behavioral Health·PETOSKEY, MI·NPI: 1053474015Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $69.3M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$69.3M

$69,328,943

Total Claims

459K

Beneficiaries

224K

2.0 claims/patient

Avg Cost/Claim

$151

Monthly Spending Trend

Yearly Spending

2018
$11.4M
-8%
2019
$10.5M
-13%
2020
$9.2M
+10%
2021
$10.1M
+2%
2022
$10.3M
-0%
2023
$10.2M
-25%
2024
$7.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 37 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 13% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$9.1M

61K claims · 13.1%

Your Cost: $148.73/claim|Median: $69.56
2.1× median
H0032Top 5%

Mental health service plan development

$6.2M

22K claims · 8.9%

Your Cost: $277.93/claim|Median: $80.64
3.4× median
T1016Top 25%

Case management, each 15 min

$5.4M

30K claims · 7.7%

Your Cost: $176.24/claim|Median: $49.62
3.6× median
H0039Normal range

Assertive community treatment, per diem

$5.1M

35K claims · 7.4%

Your Cost: $147.90/claim|Median: $132.62
1.1× median
90837Top 5%

Psychotherapy, 60 minutes

$4.8M

26K claims · 7.0%

Your Cost: $188.26/claim|Median: $85.66
2.2× median
99214Top 1%

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

$4.5M

15K claims · 6.4%

Your Cost: $294.22/claim|Median: $53.41
5.5× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$4.1M

63K claims · 6.0%

Your Cost: $66.27/claim|Median: $73.58
0.9× median
90834Top 5%

Psychotherapy, 45 minutes

$4.1M

26K claims · 5.9%

Your Cost: $156.97/claim|Median: $63.65
2.5× median
H0031Top 5%

Mental health assessment by non-physician

$3.6M

7,291 claims · 5.2%

Your Cost: $494.68/claim|Median: $96.18
5.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$3.1M

52K claims · 4.5%

Your Cost: $60.38/claim|Median: $96.24
0.6× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$2.4M

7,012 claims · 3.4%

Your Cost: $337.32/claim|Median: $76.05
4.4× median
90791Top 1%

Psychiatric diagnostic evaluation

$2.2M

5,026 claims · 3.2%

Your Cost: $440.87/claim|Median: $99.21
4.4× median
H2014Normal range

Skills training & development, per 15 min

$1.6M

40K claims · 2.3%

Your Cost: $39.90/claim|Median: $83.88
0.5× median
T1023Top 10%

Screening to determine appropriateness of consideration for program

$1.5M

4,051 claims · 2.2%

Your Cost: $375.56/claim|Median: $106.70
3.5× median
99213Top 1%

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

$1.3M

7,949 claims · 1.8%

Your Cost: $157.83/claim|Median: $37.81
4.2× median
T1002Top 25%

RN services, per 15 minutes

$1.2M

7,010 claims · 1.8%

Your Cost: $177.68/claim|Median: $37.42
4.7× median
S9482Normal range

Family stabilization services, per 15 minutes

$1.2M

2,258 claims · 1.8%

Your Cost: $540.26/claim|Median: $625.59
0.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.2M

7,987 claims · 1.7%

Your Cost: $148.82/claim|Median: $215.80
0.7× median
90832Top 10%

Psychotherapy, 30 minutes

$1.1M

11K claims · 1.6%

Your Cost: $103.26/claim|Median: $41.28
2.5× median
S0280Top 25%

Medical home program, comprehensive care management

$950K

3,901 claims · 1.4%

Your Cost: $243.46/claim|Median: $48.38
5.0× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$850K

1,376 claims · 1.2%

Your Cost: $618.07/claim|Median: $108.91
5.7× median
99211Top 5%

Office/outpatient visit, minimal complexity

$751K

4,576 claims · 1.1%

Your Cost: $164.21/claim|Median: $12.93
12.7× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$703K

5,612 claims · 1.0%

Your Cost: $125.35/claim|Median: $9.56
13.1× median
H2023Normal range

Supported employment, per 15 min

$451K

4,363 claims · 0.7%

Your Cost: $103.32/claim|Median: $103.94
1.0× median
S5111Top 5%

Home care training, family member, per session

$375K

1,206 claims · 0.5%

Your Cost: $310.53/claim|Median: $87.13
3.6× median
H0034Top 25%

Medication training and management, per 15 min

$319K

1,844 claims · 0.5%

Your Cost: $173.25/claim|Median: $56.90
3.0× median
90847Top 10%

Family psychotherapy with patient, 50 min

$275K

1,588 claims · 0.4%

Your Cost: $172.97/claim|Median: $77.33
2.2× median
H2000Top 25%

Comprehensive multidisciplinary evaluation

$260K

1,381 claims · 0.4%

Your Cost: $188.59/claim|Median: $114.71
1.6× median
99215Top 5%

Office/outpatient visit, high complexity

$159K

421 claims · 0.2%

Your Cost: $378.11/claim|Median: $74.09
5.1× median
90853Top 10%

Group psychotherapy

$132K

2,021 claims · 0.2%

Your Cost: $65.36/claim|Median: $25.02
2.6× median
H2021Normal range

Community-based wrap-around services, per 15 min

$111K

375 claims · 0.2%

Your Cost: $294.72/claim|Median: $169.11
1.7× median
99212Top 5%

Office/outpatient visit, low complexity

$99K

717 claims · 0.1%

Your Cost: $138.58/claim|Median: $25.06
5.5× median
96101Top 1%

$40K

43 claims · 0.1%

Your Cost: $933.61/claim|Median: $196.08
4.8× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$29K

64 claims · 0.0%

Your Cost: $447.80/claim|Median: $3.67
122.0× median
90846Top 5%

Family psychotherapy without patient, 50 min

$26K

168 claims · 0.0%

Your Cost: $157.36/claim|Median: $76.61
2.1× median
S9446Top 25%

$5K

85 claims · 0.0%

Your Cost: $59.88/claim|Median: $13.66
4.4× median
T1001Top 5%

Nursing assessment/evaluation, per visit

$3K

13 claims · 0.0%

Your Cost: $240.65/claim|Median: $49.05
4.9× median