Is ADULT AND CHILD MENTAL HEALTH CENTER INC flagged for Medicaid fraud?

ADULT AND CHILD MENTAL HEALTH CENTER INC (NPI: 1154368512) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ADULT AND CHILD MENTAL HEALTH CENTER INC bill Medicaid?

ADULT AND CHILD MENTAL HEALTH CENTER INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in INDIANAPOLIS, IN.

What is NPI 1154368512?

NPI 1154368512 is the National Provider Identifier for ADULT AND CHILD MENTAL HEALTH CENTER INC. They are a Community/Behavioral Health provider based in INDIANAPOLIS, IN. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

ADULT AND CHILD MENTAL HEALTH CENTER INC

Community/Behavioral Health·INDIANAPOLIS, IN·NPI: 1154368512Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.5M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$23.5M

$23,487,110

Total Claims

455K

Beneficiaries

245K

1.9 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018

$3.1M

+32%

2019

$4.2M

+0%

2020

$4.2M

-18%

2021

$3.4M

+2%

2022

$3.5M

-10%

2023

$3.2M

-39%

2024

$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 48% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

90834Psychotherapy, 45 minutesSee all providers →

$11.2M

238K claims

$46.83

$63.65

0.7×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$11.2M

238K claims · 47.5%

Your Cost: $46.83/claim|Median: $63.65

0.7× median

T2022Case management, per monthSee all providers →

$3.2M

3,650 claims

$875.38

$202.77

4.3×

Top 5%

T2022Top 5%

Case management, per month

$3.2M

3,650 claims · 13.6%

Your Cost: $875.38/claim|Median: $202.77

4.3× median

90837Psychotherapy, 60 minutesSee all providers →

$3.0M

44K claims

$67.86

$85.66

0.8×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$3.0M

44K claims · 12.6%

Your Cost: $67.86/claim|Median: $85.66

0.8× median

90791Psychiatric diagnostic evaluationSee all providers →

$1.9M

26K claims

$74.45

$99.21

0.8×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$1.9M

26K claims · 8.3%

Your Cost: $74.45/claim|Median: $99.21

0.8× median

90832Psychotherapy, 30 minutesSee all providers →

$1.9M

54K claims

$35.53

$41.28

0.9×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$1.9M

54K claims · 8.1%

Your Cost: $35.53/claim|Median: $41.28

0.9× median

90847Family psychotherapy with patient, 50 minSee all providers →

$775K

14K claims

$54.62

$77.33

0.7×

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

$775K

14K claims · 3.3%

Your Cost: $54.62/claim|Median: $77.33

0.7× median

90846Family psychotherapy without patient, 50 minSee all providers →

$541K

9,762 claims

$55.39

$76.61

0.7×

Normal range

90846Normal range

Family psychotherapy without patient, 50 min

$541K

9,762 claims · 2.3%

Your Cost: $55.39/claim|Median: $76.61

0.7× median

90853Group psychotherapySee all providers →

$491K

37K claims

$13.35

$25.02

0.5×

Normal range

90853Normal range

Group psychotherapy

$491K

37K claims · 2.1%

Your Cost: $13.35/claim|Median: $25.02

0.5× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$161K

4,657 claims

$34.58

$55.04

0.6×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$161K

4,657 claims · 0.7%

Your Cost: $34.58/claim|Median: $55.04

0.6× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$140K

2,619 claims

$53.63

$129.75

0.4×

Normal range

H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$140K

2,619 claims · 0.6%

Your Cost: $53.63/claim|Median: $129.75

0.4× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$134K

3,865 claims

$34.60

$37.81

0.9×

Normal range

99213Normal range

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

$134K

3,865 claims · 0.6%

Your Cost: $34.60/claim|Median: $37.81

0.9× median

96372Therapeutic injection, subcutaneous/intramuscularSee all providers →

$35K

4,146 claims

$8.56

$9.56

0.9×

Normal range

96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$35K

4,146 claims · 0.2%

Your Cost: $8.56/claim|Median: $9.56

0.9× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$14K

304 claims

$47.60

$53.41

0.9×

Normal range

99214Normal range

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

$14K

304 claims · 0.1%

Your Cost: $47.60/claim|Median: $53.41

0.9× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$14K

275 claims

$50.87

$215.80

0.2×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$14K

275 claims · 0.1%

Your Cost: $50.87/claim|Median: $215.80

0.2× median

90839Psychotherapy for crisis, first 60 minSee all providers →

$8K

121 claims

$67.20

$83.98

0.8×

Normal range

90839Normal range

Psychotherapy for crisis, first 60 min

$8K

121 claims · 0.0%

Your Cost: $67.20/claim|Median: $83.98

0.8× median

99212Office/outpatient visit, low complexitySee all providers →

$7K

410 claims

$17.61

$25.06

0.7×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$7K

410 claims · 0.0%

Your Cost: $17.61/claim|Median: $25.06

0.7× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$689

223 claims

$3.09

$91.63

0.0×

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$689

223 claims · 0.0%

Your Cost: $3.09/claim|Median: $91.63

0.0× median

96127Brief emotional/behavioral assessment, per standardized instrumentSee all providers →

$153

61 claims

$2.52

$3.67

0.7×

Normal range

96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$153

61 claims · 0.0%

Your Cost: $2.52/claim|Median: $3.67

0.7× median

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$117

13K claims

$0.01

$121.16

0.0×

Normal range

T1015Normal range

Clinic visit/encounter, all-inclusive

$117

13K claims · 0.0%

Your Cost: $0.01/claim|Median: $121.16

0.0× median

NB See all providers →

119 claims

$0.00

—

119 claims · 0.0%

T2011 See all providers →

16 claims

$0.00

$122.73

—

Normal range

T2011Normal range

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $122.73

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