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MANISTEE BENZIE COMMUNITY MENTAL HEALTH

Community/Behavioral Health·MANISTEE, MI·NPI: 1063581205Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $57.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$57.0M

$56,971,455

Total Claims

242K

Beneficiaries

101K

2.4 claims/patient

Avg Cost/Claim

$235

Monthly Spending Trend

Yearly Spending

2018
$6.9M
-7%
2019
$6.5M
-16%
2020
$5.5M
+30%
2021
$7.1M
+16%
2022
$8.2M
+31%
2023
$10.8M
+12%
2024
$12.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 39 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 14% of total spending.

T1017Top 5%

Targeted case management, per 15 min

$8.1M

25K claims · 14.2%

Your Cost: $324.81/claim|Median: $69.56
4.7× median
H2014Top 10%

Skills training & development, per 15 min

$7.0M

26K claims · 12.3%

Your Cost: $273.72/claim|Median: $83.88
3.3× median
H2015Normal range

Comprehensive community support services, per 15 min

$5.1M

44K claims · 8.9%

Your Cost: $113.96/claim|Median: $96.24
1.2× median
H0025Top 10%

Behavioral health prevention education, per session

$5.0M

24K claims · 8.8%

Your Cost: $205.75/claim|Median: $36.25
5.7× median
90837Top 5%

Psychotherapy, 60 minutes

$4.1M

16K claims · 7.1%

Your Cost: $246.15/claim|Median: $85.66
2.9× median
99214Top 1%

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

$3.5M

9,510 claims · 6.2%

Your Cost: $372.88/claim|Median: $53.41
7.0× median
H0039Top 25%

Assertive community treatment, per diem

$2.8M

8,887 claims · 5.0%

Your Cost: $320.49/claim|Median: $132.62
2.4× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$2.3M

7,398 claims · 4.0%

Your Cost: $308.56/claim|Median: $55.04
5.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$2.3M

10K claims · 4.0%

Your Cost: $217.19/claim|Median: $321.53
0.7× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$1.9M

4,416 claims · 3.4%

Your Cost: $439.23/claim|Median: $76.05
5.8× median
90791Top 1%

Psychiatric diagnostic evaluation

$1.9M

2,485 claims · 3.4%

Your Cost: $768.51/claim|Median: $99.21
7.7× median
97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$1.7M

6,052 claims · 2.9%

Your Cost: $272.72/claim|Median: $167.38
1.6× median
90834Top 5%

Psychotherapy, 45 minutes

$1.6M

8,098 claims · 2.8%

Your Cost: $200.04/claim|Median: $63.65
3.1× median
H0031Top 5%

Mental health assessment by non-physician

$1.2M

3,015 claims · 2.1%

Your Cost: $404.58/claim|Median: $96.18
4.2× median
H0032Top 10%

Mental health service plan development

$1.2M

6,001 claims · 2.1%

Your Cost: $199.71/claim|Median: $80.64
2.5× median
H2023Top 25%

Supported employment, per 15 min

$1.2M

4,765 claims · 2.1%

Your Cost: $250.31/claim|Median: $103.94
2.4× median
99213Top 1%

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

$844K

2,902 claims · 1.5%

Your Cost: $290.83/claim|Median: $37.81
7.7× median
T1016Top 25%

Case management, each 15 min

$836K

4,236 claims · 1.5%

Your Cost: $197.38/claim|Median: $49.62
4.0× median
90832Top 5%

Psychotherapy, 30 minutes

$729K

5,368 claims · 1.3%

Your Cost: $135.72/claim|Median: $41.28
3.3× median
T1002Top 10%

RN services, per 15 minutes

$666K

2,266 claims · 1.2%

Your Cost: $293.80/claim|Median: $37.42
7.9× median
T1020Normal range

Personal care services, per diem

$605K

9,734 claims · 1.1%

Your Cost: $62.18/claim|Median: $296.27
0.2× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$397K

2,117 claims · 0.7%

Your Cost: $187.72/claim|Median: $9.56
19.6× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$303K

396 claims · 0.5%

Your Cost: $764.46/claim|Median: $106.70
7.2× median
S0281Normal range

$282K

2,052 claims · 0.5%

Your Cost: $137.19/claim|Median: $92.97
1.5× median
H2025Top 25%

Ongoing support to maintain employment, per 15 min

$248K

978 claims · 0.4%

Your Cost: $253.95/claim|Median: $100.49
2.5× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$242K

1,058 claims · 0.4%

Your Cost: $228.28/claim|Median: $146.45
1.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$236K

489 claims · 0.4%

Your Cost: $481.81/claim|Median: $215.80
2.2× median
S0280Normal range

Medical home program, comprehensive care management

$177K

2,116 claims · 0.3%

Your Cost: $83.71/claim|Median: $48.38
1.7× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$154K

697 claims · 0.3%

Your Cost: $221.07/claim|Median: $84.12
2.6× median
90853Top 1%

Group psychotherapy

$125K

414 claims · 0.2%

Your Cost: $301.98/claim|Median: $25.02
12.1× median
T1001Top 1%

Nursing assessment/evaluation, per visit

$88K

155 claims · 0.2%

Your Cost: $569.35/claim|Median: $49.05
11.6× median
96131Top 1%

Psychological testing evaluation, each additional hour

$45K

30 claims · 0.1%

Your Cost: $1,496.67/claim|Median: $133.38
11.2× median
99211Top 1%

Office/outpatient visit, minimal complexity

$44K

134 claims · 0.1%

Your Cost: $327.43/claim|Median: $12.93
25.3× median
H0002Top 1%

Behavioral health screening

$16K

31 claims · 0.0%

Your Cost: $500.00/claim|Median: $38.77
12.9× median
96130Top 1%

Psychological testing evaluation by professional, first hour

$13K

30 claims · 0.0%

Your Cost: $426.67/claim|Median: $79.21
5.4× median
99212Top 1%

Office/outpatient visit, low complexity

$13K

51 claims · 0.0%

Your Cost: $250.00/claim|Median: $25.06
10.0× median
99215Top 1%

Office/outpatient visit, high complexity

$9K

18 claims · 0.0%

Your Cost: $500.00/claim|Median: $74.09
6.7× median
97156Normal range

$6K

60 claims · 0.0%

Your Cost: $91.71/claim|Median: $88.65
1.0× median
H0034Normal range

Medication training and management, per 15 min

$4K

32 claims · 0.0%

Your Cost: $109.38/claim|Median: $56.90
1.9× median