Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

ARBOR CIRCLE CORPORATION

Social Worker, Clinical·GRAND RAPIDS, MI·NPI: 1174601512Share

Compared to Social Worker, Clinical Peers

Total spending distribution among 34 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.6M is at the 90th percentile among 34 Social Worker, Clinical providers.

Above 90th percentile for this specialty — higher spending than 30 of 34 peers

Active Billing Period:2018-012024-12(84 months)

Total Paid

$47.6M

$47,578,319

Total Claims

332K

Beneficiaries

154K

2.2 claims/patient

Avg Cost/Claim

$143

Monthly Spending Trend

Yearly Spending

2018
$7.6M
-5%
2019
$7.2M
-19%
2020
$5.8M
+10%
2021
$6.4M
+21%
2022
$7.7M
+1%
2023
$7.8M
-36%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 37 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 14% of total spending.

90837Top 5%

Psychotherapy, 60 minutes

$6.8M

41K claims · 14.2%

Your Cost: $163.04/claim|Median: $85.66
1.9× median
H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$5.5M

27K claims · 11.5%

Your Cost: $200.13/claim|Median: $76.05
2.6× median
H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$5.2M

26K claims · 11.0%

Your Cost: $198.93/claim|Median: $74.63
2.7× median
T1017Top 25%

Targeted case management, per 15 min

$4.4M

23K claims · 9.3%

Your Cost: $190.42/claim|Median: $69.56
2.7× median
H0015Normal range

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

$3.9M

29K claims · 8.2%

Your Cost: $133.95/claim|Median: $129.75
1.0× median
S9482Normal range

Family stabilization services, per 15 minutes

$2.9M

17K claims · 6.0%

Your Cost: $165.76/claim|Median: $625.59
0.3× median
H2022Normal range

Community-based wrap-around services, per diem

$2.4M

6,819 claims · 5.0%

Your Cost: $345.49/claim|Median: $336.31
1.0× median
90834Top 25%

Psychotherapy, 45 minutes

$2.2M

27K claims · 4.7%

Your Cost: $83.75/claim|Median: $63.65
1.3× median
H2021Normal range

Community-based wrap-around services, per 15 min

$2.1M

6,872 claims · 4.4%

Your Cost: $303.85/claim|Median: $169.11
1.8× median
S5111Top 25%

Home care training, family member, per session

$1.7M

10K claims · 3.7%

Your Cost: $174.10/claim|Median: $87.13
2.0× median
90832Top 25%

Psychotherapy, 30 minutes

$1.6M

27K claims · 3.3%

Your Cost: $58.05/claim|Median: $41.28
1.4× median
90853Top 25%

Group psychotherapy

$1.6M

31K claims · 3.3%

Your Cost: $51.17/claim|Median: $25.02
2.0× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$1.3M

8,599 claims · 2.7%

Your Cost: $150.18/claim|Median: $55.04
2.7× median
H0006Top 25%

Alcohol and/or drug services, case management

$1.2M

11K claims · 2.5%

Your Cost: $111.70/claim|Median: $43.10
2.6× median
H0001Top 25%

Alcohol and/or drug assessment

$1.0M

5,933 claims · 2.2%

Your Cost: $175.58/claim|Median: $94.22
1.9× median
H0050Top 5%

$986K

5,423 claims · 2.1%

Your Cost: $181.74/claim|Median: $46.71
3.9× median
99213Top 5%

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

$539K

5,567 claims · 1.1%

Your Cost: $96.84/claim|Median: $37.81
2.6× median
99214Top 1%

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

$470K

2,290 claims · 1.0%

Your Cost: $205.05/claim|Median: $53.41
3.8× median
H2011Normal range

Crisis intervention service, per 15 minutes

$393K

1,163 claims · 0.8%

Your Cost: $337.78/claim|Median: $215.80
1.6× median
T1005Normal range

Respite care services, per 15 minutes

$273K

3,121 claims · 0.6%

Your Cost: $87.47/claim|Median: $71.40
1.2× median
H2015Normal range

Comprehensive community support services, per 15 min

$273K

3,846 claims · 0.6%

Your Cost: $70.97/claim|Median: $96.24
0.7× median
G0176Normal range

Activity therapy (group), per session

$236K

2,584 claims · 0.5%

Your Cost: $91.27/claim|Median: $85.09
1.1× median
H0002Top 25%

Behavioral health screening

$170K

1,646 claims · 0.4%

Your Cost: $103.44/claim|Median: $38.77
2.7× median
90791Normal range

Psychiatric diagnostic evaluation

$151K

1,482 claims · 0.3%

Your Cost: $102.10/claim|Median: $99.21
1.0× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$92K

1,361 claims · 0.2%

Your Cost: $67.87/claim|Median: $47.35
1.4× median
H0031Normal range

Mental health assessment by non-physician

$77K

845 claims · 0.2%

Your Cost: $91.35/claim|Median: $96.18
0.9× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$56K

172 claims · 0.1%

Your Cost: $324.90/claim|Median: $111.09
2.9× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$54K

157 claims · 0.1%

Your Cost: $342.33/claim|Median: $108.91
3.1× median
H0048Normal range

$45K

3,418 claims · 0.1%

Your Cost: $13.08/claim|Median: $13.25
1.0× median
T1007Top 25%

Alcohol/drug services, treatment plan review

$18K

147 claims · 0.0%

Your Cost: $120.22/claim|Median: $64.10
1.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$9K

151 claims · 0.0%

Your Cost: $60.44/claim|Median: $77.33
0.8× median
T2036Normal range

Therapeutic camping, waiver, per diem

$8K

40 claims · 0.0%

Your Cost: $209.59/claim|Median: $413.93
0.5× median
99212Top 25%

Office/outpatient visit, low complexity

$8K

165 claims · 0.0%

Your Cost: $50.62/claim|Median: $25.06
2.0× median
H0003Normal range

$5K

199 claims · 0.0%

Your Cost: $25.07/claim|Median: $13.38
1.9× median
T2003Normal range

Non-emergency transport; encounter/trip

$2K

364 claims · 0.0%

Your Cost: $5.29/claim|Median: $21.70
0.2× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$865

16 claims · 0.0%

Your Cost: $54.08/claim|Median: $27.38
2.0× median
H2027Normal range

Psychoeducational service, per 15 minutes

$430

14 claims · 0.0%

Your Cost: $30.74/claim|Median: $82.72
0.4× median