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Spectrum Community Services

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Westland, MI·NPI: 1164577391Share

Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $166.7M is at the 75th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$166.7M

$166,706,396

Total Claims

852K

Beneficiaries

92K

9.2 claims/patient

Avg Cost/Claim

$196

#600 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Spectrum Community Services is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider based in Westland, MI. From the 2018–2024 period, this provider received $166.7M in Medicaid payments across 852K claims.

Why This Matters

This provider received $166.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,838 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 6% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$23.8M
-7%
2019
$22.2M
+2%
2020
$22.8M
-2%
2021
$22.4M
+6%
2022
$23.8M
+11%
2023
$26.4M
-5%
2024
$25.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 47% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$79.0M

178K claims · 47.4%

Your Cost: $443.95/claim|Median: $321.53
1.4× median
T1020Normal range

Personal care services, per diem

$32.0M

177K claims · 19.2%

Your Cost: $180.78/claim|Median: $296.27
0.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$24.0M

327K claims · 14.4%

Your Cost: $73.44/claim|Median: $96.24
0.8× median
H0043Normal range

Supported housing, per diem

$16.6M

51K claims · 9.9%

Your Cost: $323.40/claim|Median: $164.87
2.0× median
T1017Top 10%

Targeted case management, per 15 min

$5.4M

20K claims · 3.2%

Your Cost: $265.34/claim|Median: $69.56
3.8× median
T1016Top 10%

Case management, each 15 min

$3.4M

17K claims · 2.0%

Your Cost: $199.78/claim|Median: $49.62
4.0× median
T2027Normal range

Specialized transportation, waiver, per trip, extra

$3.2M

58K claims · 1.9%

Your Cost: $55.63/claim|Median: $88.93
0.6× median
T2022Normal range

Case management, per month

$1.2M

5K claims · 0.7%

Your Cost: $263.80/claim|Median: $202.77
1.3× median
T1005Top 25%

Respite care services, per 15 minutes

$778K

6K claims · 0.5%

Your Cost: $125.23/claim|Median: $71.40
1.8× median
G0176Normal range

Activity therapy (group), per session

$495K

6K claims · 0.3%

Your Cost: $89.75/claim|Median: $85.09
1.1× median
T2023Top 25%

Community transition, waiver; per service

$239K

480 claims · 0.1%

Your Cost: $498.24/claim|Median: $300.13
1.7× median
90837Normal range

Psychotherapy, 60 minutes

$152K

2K claims · 0.1%

Your Cost: $79.58/claim|Median: $85.66
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$90K

3K claims · 0.1%

Your Cost: $35.46/claim|Median: $41.28
0.9× median
99214Top 25%

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

$54K

663 claims · 0.0%

Your Cost: $81.89/claim|Median: $53.41
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$50K

954 claims · 0.0%

Your Cost: $52.80/claim|Median: $63.65
0.8× median
H2035Normal range

Alcohol and/or drug treatment, per hour

$17K

221 claims · 0.0%

Your Cost: $74.92/claim|Median: $94.63
0.8× median
H0002Top 25%

Behavioral health screening

$13K

110 claims · 0.0%

Your Cost: $119.54/claim|Median: $38.77
3.1× median
H0003Normal range

$9K

298 claims · 0.0%

Your Cost: $29.22/claim|Median: $13.38
2.2× median
H0015Normal range

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

$6K

80 claims · 0.0%

Your Cost: $79.80/claim|Median: $129.75
0.6× median
T1002Normal range

RN services, per 15 minutes

$6K

106 claims · 0.0%

Your Cost: $59.91/claim|Median: $37.42
1.6× median
T1001Top 10%

Nursing assessment/evaluation, per visit

$3K

16 claims · 0.0%

Your Cost: $199.20/claim|Median: $49.05
4.1× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

37 claims · 0.0%

Your Cost: $56.97/claim|Median: $99.21
0.6× median
H0031Normal range

Mental health assessment by non-physician

$1K

12 claims · 0.0%

Your Cost: $85.70/claim|Median: $96.18
0.9× median

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