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KENT COUNTY CMH AUTHORITY

Community/Behavioral Health·GRAND RAPIDS, MI·NPI: 1134212442Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $97.6M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$97.6M

$97,605,833

Total Claims

438K

Beneficiaries

279K

1.6 claims/patient

Avg Cost/Claim

$223

Monthly Spending Trend

Yearly Spending

2018
$14.3M
-45%
2019
$7.9M
-4%
2020
$7.5M
+23%
2021
$9.3M
+18%
2022
$10.9M
+90%
2023
$20.8M
+29%
2024
$27.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 21% of total spending.

T1017Top 5%

Targeted case management, per 15 min

$20.6M

56K claims · 21.1%

Your Cost: $367.78/claim|Median: $69.56
5.3× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$13.1M

27K claims · 13.4%

Your Cost: $489.30/claim|Median: $106.70
4.6× median
H0039Normal range

Assertive community treatment, per diem

$9.1M

46K claims · 9.3%

Your Cost: $197.07/claim|Median: $132.62
1.5× median
T1016Top 25%

Case management, each 15 min

$5.1M

27K claims · 5.3%

Your Cost: $191.31/claim|Median: $49.62
3.9× median
90837Top 5%

Psychotherapy, 60 minutes

$4.8M

17K claims · 5.0%

Your Cost: $285.15/claim|Median: $85.66
3.3× median
99213Top 1%

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

$3.3M

16K claims · 3.4%

Your Cost: $210.22/claim|Median: $37.81
5.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$3.0M

11K claims · 3.1%

Your Cost: $273.52/claim|Median: $215.80
1.3× median
H2016Top 25%

Comprehensive community support services, per 15 min

$3.0M

2,970 claims · 3.1%

Your Cost: $1,004.77/claim|Median: $321.53
3.1× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$2.9M

7,465 claims · 3.0%

Your Cost: $393.16/claim|Median: $108.91
3.6× median
H0032Top 10%

Mental health service plan development

$2.9M

13K claims · 2.9%

Your Cost: $214.11/claim|Median: $80.64
2.7× median
H0031Top 10%

Mental health assessment by non-physician

$2.5M

8,200 claims · 2.6%

Your Cost: $308.62/claim|Median: $96.18
3.2× median
H0043Top 10%

Supported housing, per diem

$2.4M

1,746 claims · 2.5%

Your Cost: $1,398.40/claim|Median: $164.87
8.5× median
99214Top 1%

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

$2.4M

8,444 claims · 2.5%

Your Cost: $286.70/claim|Median: $53.41
5.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.2M

38K claims · 2.2%

Your Cost: $57.59/claim|Median: $96.24
0.6× median
H0002Top 5%

Behavioral health screening

$2.1M

9,570 claims · 2.2%

Your Cost: $221.20/claim|Median: $38.77
5.7× median
S9484Top 25%

Crisis intervention mental health services, per hour

$2.0M

1,421 claims · 2.1%

Your Cost: $1,426.34/claim|Median: $249.51
5.7× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$2.0M

7,762 claims · 2.0%

Your Cost: $254.73/claim|Median: $55.04
4.6× median
90791Top 1%

Psychiatric diagnostic evaluation

$1.9M

4,197 claims · 1.9%

Your Cost: $452.16/claim|Median: $99.21
4.6× median
90834Top 5%

Psychotherapy, 45 minutes

$1.7M

8,964 claims · 1.8%

Your Cost: $194.64/claim|Median: $63.65
3.1× median
S5111Top 25%

Home care training, family member, per session

$1.5M

10K claims · 1.6%

Your Cost: $151.20/claim|Median: $87.13
1.7× median
99215Top 1%

Office/outpatient visit, high complexity

$1.4M

3,364 claims · 1.4%

Your Cost: $402.67/claim|Median: $74.09
5.4× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$1.2M

9,799 claims · 1.2%

Your Cost: $123.82/claim|Median: $9.56
13.0× median
99212Top 5%

Office/outpatient visit, low complexity

$1.1M

9,168 claims · 1.1%

Your Cost: $121.31/claim|Median: $25.06
4.8× median
90832Top 5%

Psychotherapy, 30 minutes

$1.0M

7,707 claims · 1.0%

Your Cost: $132.57/claim|Median: $41.28
3.2× median
T1020Normal range

Personal care services, per diem

$810K

2,667 claims · 0.8%

Your Cost: $303.85/claim|Median: $296.27
1.0× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$571K

5,486 claims · 0.6%

Your Cost: $104.09/claim|Median: $114.71
0.9× median
T1005Top 25%

Respite care services, per 15 minutes

$475K

3,956 claims · 0.5%

Your Cost: $119.98/claim|Median: $71.40
1.7× median
T1001Top 10%

Nursing assessment/evaluation, per visit

$424K

2,976 claims · 0.4%

Your Cost: $142.34/claim|Median: $49.05
2.9× median
T2025Normal range

Waiver services, NOS; per 15 min

$336K

3,126 claims · 0.3%

Your Cost: $107.52/claim|Median: $124.39
0.9× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$310K

981 claims · 0.3%

Your Cost: $315.78/claim|Median: $76.05
4.2× median
H2014Normal range

Skills training & development, per 15 min

$218K

3,720 claims · 0.2%

Your Cost: $58.66/claim|Median: $83.88
0.7× median
T2023Top 25%

Community transition, waiver; per service

$144K

290 claims · 0.1%

Your Cost: $498.24/claim|Median: $300.13
1.7× median
S9976Top 1%

$134K

116 claims · 0.1%

Your Cost: $1,157.76/claim|Median: $64.43
18.0× median
H0019Normal range

Behavioral health; residential, per diem

$97K

116 claims · 0.1%

Your Cost: $839.66/claim|Median: $357.16
2.4× median
99205Top 1%

Office/outpatient visit, new patient, high complexity

$97K

255 claims · 0.1%

Your Cost: $379.88/claim|Median: $111.09
3.4× median
90847Top 1%

Family psychotherapy with patient, 50 min

$93K

190 claims · 0.1%

Your Cost: $490.99/claim|Median: $77.33
6.3× median
90846Top 1%

Family psychotherapy without patient, 50 min

$52K

125 claims · 0.1%

Your Cost: $412.24/claim|Median: $76.61
5.4× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$51K

371 claims · 0.1%

Your Cost: $136.50/claim|Median: $106.05
1.3× median
H0045Top 25%

Respite care services, not in the home, per diem

$48K

167 claims · 0.0%

Your Cost: $285.81/claim|Median: $119.19
2.4× median
H2023Top 25%

Supported employment, per 15 min

$47K

256 claims · 0.0%

Your Cost: $182.45/claim|Median: $103.94
1.8× median
H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$39K

101 claims · 0.0%

Your Cost: $386.89/claim|Median: $74.63
5.2× median
99202Top 1%

Office/outpatient visit, new patient, low complexity

$26K

91 claims · 0.0%

Your Cost: $282.19/claim|Median: $40.11
7.0× median
90853Top 1%

Group psychotherapy

$19K

27 claims · 0.0%

Your Cost: $718.00/claim|Median: $25.02
28.7× median
99204Top 5%

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

$18K

92 claims · 0.0%

Your Cost: $197.67/claim|Median: $84.03
2.4× median
H2021Normal range

Community-based wrap-around services, per 15 min

$18K

59 claims · 0.0%

Your Cost: $299.05/claim|Median: $169.11
1.8× median
99203Top 5%

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

$12K

83 claims · 0.0%

Your Cost: $145.00/claim|Median: $57.85
2.5× median
0369TNormal range

$9K

63 claims · 0.0%

Your Cost: $139.05/claim|Median: $102.36
1.4× median
0364TTop 25%

$5K

177 claims · 0.0%

Your Cost: $27.67/claim|Median: $21.31
1.3× median
0368TTop 25%

$4K

64 claims · 0.0%

Your Cost: $60.00/claim|Median: $44.63
1.3× median
T1002Top 10%

RN services, per 15 minutes

$4K

14 claims · 0.0%

Your Cost: $263.10/claim|Median: $37.42
7.0× 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

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