Is NORTH CENTRAL MISSOURI MENTAL HEALTH CENTER flagged for Medicaid fraud?

NORTH CENTRAL MISSOURI MENTAL HEALTH CENTER (NPI: 1154863306) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does NORTH CENTRAL MISSOURI MENTAL HEALTH CENTER bill Medicaid?

NORTH CENTRAL MISSOURI MENTAL HEALTH CENTER 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 TRENTON, MO.

What is NPI 1154863306?

NPI 1154863306 is the National Provider Identifier for NORTH CENTRAL MISSOURI MENTAL HEALTH CENTER. They are a Community/Behavioral Health provider based in TRENTON, MO. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

NORTH CENTRAL MISSOURI MENTAL HEALTH CENTER

Community/Behavioral Health·TRENTON, MO·NPI: 1154863306Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.7M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$42.7M

$42,692,954

Total Claims

503K

Beneficiaries

211K

2.4 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018

$4.4M

-0%

2019

$4.4M

+18%

2020

$5.2M

+14%

2021

$5.9M

+15%

2022

$6.8M

+22%

2023

$8.2M

-4%

2024

$7.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 99% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1040Medicaid certified CCBHC servicesSee all providers →

$42.5M

215K claims

$197.81

$130.29

1.5×

Normal range

T1040Normal range

Medicaid certified CCBHC services

$42.5M

215K claims · 99.5%

Your Cost: $197.81/claim|Median: $130.29

1.5× median

90834Psychotherapy, 45 minutesSee all providers →

$98K

16K claims

$6.05

$63.65

0.1×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$98K

16K claims · 0.2%

Your Cost: $6.05/claim|Median: $63.65

0.1× median

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

$65K

8,592 claims

$7.57

$53.41

0.1×

Normal range

99214Normal range

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

$65K

8,592 claims · 0.2%

Your Cost: $7.57/claim|Median: $53.41

0.1× median

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

$24K

7,721 claims

$3.17

$37.81

0.1×

Normal range

99213Normal range

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

$24K

7,721 claims · 0.1%

Your Cost: $3.17/claim|Median: $37.81

0.1× median

90832Psychotherapy, 30 minutesSee all providers →

$15K

4,045 claims

$3.67

$41.28

0.1×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$15K

4,045 claims · 0.0%

Your Cost: $3.67/claim|Median: $41.28

0.1× median

99215Office/outpatient visit, high complexitySee all providers →

$6K

171 claims

$33.27

$74.09

0.4×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$6K

171 claims · 0.0%

Your Cost: $33.27/claim|Median: $74.09

0.4× median

90837Psychotherapy, 60 minutesSee all providers →

$5K

188 claims

$28.89

$85.66

0.3×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$5K

188 claims · 0.0%

Your Cost: $28.89/claim|Median: $85.66

0.3× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$5K

575 claims

$8.56

$84.03

0.1×

Normal range

99204Normal range

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

$5K

575 claims · 0.0%

Your Cost: $8.56/claim|Median: $84.03

0.1× median

99205Office/outpatient visit, new patient, high complexitySee all providers →

$495

174 claims

$2.84

$111.09

0.0×

Normal range

99205Normal range

Office/outpatient visit, new patient, high complexity

$495

174 claims · 0.0%

Your Cost: $2.84/claim|Median: $111.09

0.0× median

H0005Alcohol and/or drug services, group counselingSee all providers →

54 claims

$0.00

$47.35

—

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

54 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35

H2015Comprehensive community support services, per 15 minSee all providers →

1,918 claims

$0.00

$96.24

—

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

1,918 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.24

99212Office/outpatient visit, low complexitySee all providers →

12 claims

$0.00

$25.06

—

Normal range

99212Normal range

Office/outpatient visit, low complexity

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06

T1023Screening to determine appropriateness of consideration for programSee all providers →

15 claims

$0.00

$106.70

—

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $106.70

H0025Behavioral health prevention education, per sessionSee all providers →

5,821 claims

$0.00

$36.25

—

Normal range

H0025Normal range

Behavioral health prevention education, per session

5,821 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.25

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

22K claims

$0.00

$91.63

—

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

22K claims · 0.0%

Your Cost: $0.00/claim|Median: $91.63

H0002Behavioral health screeningSee all providers →

9,803 claims

$0.00

$38.77

—

Normal range

H0002Normal range

Behavioral health screening

9,803 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.77

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

5,449 claims

$0.00

$74.63

—

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

5,449 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63

H2010Comprehensive medication services, per 15 minSee all providers →

28K claims

$0.00

$62.69

—

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

28K claims · 0.0%

Your Cost: $0.00/claim|Median: $62.69

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

4,993 claims

$0.00

$55.04

—

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

4,993 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04

90791Psychiatric diagnostic evaluationSee all providers →

53 claims

$0.00

$99.21

—

Normal range

90791Normal range

Psychiatric diagnostic evaluation

53 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21

H0032Mental health service plan developmentSee all providers →

76 claims

$0.00

$80.64

—

Normal range

H0032Normal range

Mental health service plan development

76 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.64

H0036Community psychiatric supportive treatment, per 15 minSee all providers →

172K claims

$0.00

$76.05

—

Normal range

H0036Normal range

Community psychiatric supportive treatment, per 15 min

172K claims · 0.0%

Your Cost: $0.00/claim|Median: $76.05

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

26 claims

$0.00

$57.85

—

Normal range

99203Normal range

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

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $57.85

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$894.4M

Burrell Inc.

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$759.7M

Access2care LLC

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$600.9M

State of Missouri

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$493.6M

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