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HEGIRA HEALTH, INC

Clinic/Center, Mental Health (Including Community Mental Health Center)·WESTLAND, MI·NPI: 1184684979Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $109.5M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$109.5M

$109,528,738

Total Claims

721K

Beneficiaries

380K

1.9 claims/patient

Avg Cost/Claim

$152

Monthly Spending Trend

Yearly Spending

2018
$19.0M
+12%
2019
$21.2M
-14%
2020
$18.2M
-60%
2021
$7.2M
+85%
2022
$13.4M
+16%
2023
$15.5M
-2%
2024
$15.1M

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 13% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$14.7M

68K claims · 13.4%

Your Cost: $217.62/claim|Median: $69.56
3.1× median
H0018Normal range

Behavioral health; short-term residential, per diem

$12.3M

49K claims · 11.3%

Your Cost: $251.20/claim|Median: $467.51
0.5× median
H0039Normal range

Assertive community treatment, per diem

$12.0M

67K claims · 10.9%

Your Cost: $178.85/claim|Median: $132.62
1.3× median
90837Top 5%

Psychotherapy, 60 minutes

$10.8M

71K claims · 9.8%

Your Cost: $151.17/claim|Median: $85.66
1.8× median
T1023Top 10%

Screening to determine appropriateness of consideration for program

$9.9M

25K claims · 9.0%

Your Cost: $389.71/claim|Median: $106.70
3.7× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$6.2M

19K claims · 5.6%

Your Cost: $317.40/claim|Median: $76.05
4.2× median
H0032Top 25%

Mental health service plan development

$5.9M

39K claims · 5.4%

Your Cost: $151.10/claim|Median: $80.64
1.9× median
H0031Normal range

Mental health assessment by non-physician

$4.3M

28K claims · 3.9%

Your Cost: $152.47/claim|Median: $96.18
1.6× median
90834Top 10%

Psychotherapy, 45 minutes

$3.9M

35K claims · 3.5%

Your Cost: $110.33/claim|Median: $63.65
1.7× median
99213Top 5%

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

$3.5M

36K claims · 3.2%

Your Cost: $98.12/claim|Median: $37.81
2.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$3.5M

12K claims · 3.2%

Your Cost: $305.47/claim|Median: $215.80
1.4× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$3.5M

76K claims · 3.2%

Your Cost: $45.42/claim|Median: $73.58
0.6× median
H2021Top 25%

Community-based wrap-around services, per 15 min

$3.2M

5,134 claims · 2.9%

Your Cost: $629.31/claim|Median: $169.11
3.7× median
90791Top 1%

Psychiatric diagnostic evaluation

$2.6M

7,735 claims · 2.4%

Your Cost: $341.74/claim|Median: $99.21
3.4× median
99214Top 5%

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

$2.4M

18K claims · 2.1%

Your Cost: $128.47/claim|Median: $53.41
2.4× median
S0280Top 10%

Medical home program, comprehensive care management

$1.6M

6,548 claims · 1.5%

Your Cost: $247.02/claim|Median: $48.38
5.1× median
90832Top 25%

Psychotherapy, 30 minutes

$1.4M

21K claims · 1.3%

Your Cost: $68.63/claim|Median: $41.28
1.7× median
S9976Normal range

$1.1M

43K claims · 1.0%

Your Cost: $26.83/claim|Median: $64.43
0.4× median
T1016Top 10%

Case management, each 15 min

$828K

4,056 claims · 0.8%

Your Cost: $204.21/claim|Median: $49.62
4.1× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$653K

2,809 claims · 0.6%

Your Cost: $232.59/claim|Median: $108.91
2.1× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$513K

3,282 claims · 0.5%

Your Cost: $156.18/claim|Median: $369.55
0.4× median
99212Top 25%

Office/outpatient visit, low complexity

$495K

9,079 claims · 0.5%

Your Cost: $54.52/claim|Median: $25.06
2.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$491K

10K claims · 0.4%

Your Cost: $48.99/claim|Median: $55.04
0.9× median
S9445Top 25%

$398K

6,579 claims · 0.4%

Your Cost: $60.55/claim|Median: $12.72
4.8× median
H0015Normal range

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

$381K

4,609 claims · 0.3%

Your Cost: $82.77/claim|Median: $129.75
0.6× median
99215Top 10%

Office/outpatient visit, high complexity

$369K

2,479 claims · 0.3%

Your Cost: $148.71/claim|Median: $74.09
2.0× median
T2003Top 10%

Non-emergency transport; encounter/trip

$347K

4,342 claims · 0.3%

Your Cost: $79.98/claim|Median: $21.70
3.7× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$344K

1,944 claims · 0.3%

Your Cost: $176.94/claim|Median: $84.12
2.1× median
H0001Normal range

Alcohol and/or drug assessment

$228K

2,199 claims · 0.2%

Your Cost: $103.70/claim|Median: $94.22
1.1× median
90853Normal range

Group psychotherapy

$189K

5,210 claims · 0.2%

Your Cost: $36.29/claim|Median: $25.02
1.5× median
T1001Top 25%

Nursing assessment/evaluation, per visit

$178K

1,680 claims · 0.2%

Your Cost: $105.75/claim|Median: $49.05
2.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$173K

2,060 claims · 0.2%

Your Cost: $83.84/claim|Median: $74.63
1.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$171K

8,052 claims · 0.2%

Your Cost: $21.29/claim|Median: $9.56
2.2× median
T1012Top 25%

Alcohol/drug services, skills development

$154K

1,538 claims · 0.1%

Your Cost: $99.93/claim|Median: $40.78
2.5× median
S5111Top 25%

Home care training, family member, per session

$134K

861 claims · 0.1%

Your Cost: $155.82/claim|Median: $87.13
1.8× median
H2023Normal range

Supported employment, per 15 min

$134K

988 claims · 0.1%

Your Cost: $135.15/claim|Median: $103.94
1.3× median
H0006Top 25%

Alcohol and/or drug services, case management

$101K

1,342 claims · 0.1%

Your Cost: $75.00/claim|Median: $43.10
1.7× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$94K

537 claims · 0.1%

Your Cost: $174.19/claim|Median: $111.09
1.6× median
96110Top 5%

Developmental screening, per standardized instrument

$53K

474 claims · 0.0%

Your Cost: $111.53/claim|Median: $9.10
12.3× median
H0003Normal range

$52K

1,797 claims · 0.0%

Your Cost: $29.19/claim|Median: $13.38
2.2× median
T1002Normal range

RN services, per 15 minutes

$40K

933 claims · 0.0%

Your Cost: $42.56/claim|Median: $37.42
1.1× median
90847Top 25%

Family psychotherapy with patient, 50 min

$39K

292 claims · 0.0%

Your Cost: $133.18/claim|Median: $77.33
1.7× median
99203Top 25%

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

$31K

330 claims · 0.0%

Your Cost: $93.46/claim|Median: $57.85
1.6× median
90846Top 25%

Family psychotherapy without patient, 50 min

$26K

210 claims · 0.0%

Your Cost: $122.31/claim|Median: $76.61
1.6× median
80305Normal range

$21K

2,295 claims · 0.0%

Your Cost: $9.21/claim|Median: $7.44
1.2× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$17K

182 claims · 0.0%

Your Cost: $95.58/claim|Median: $53.97
1.8× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$6K

84 claims · 0.0%

Your Cost: $75.90/claim|Median: $40.11
1.9× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$4K

73 claims · 0.0%

Your Cost: $48.64/claim|Median: $27.38
1.8× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

88 claims · 0.0%

Your Cost: $39.19/claim|Median: $22.44
1.7× median
99443Normal range

Telephone E/M by physician, 21-30 min

$3K

70 claims · 0.0%

Your Cost: $41.40/claim|Median: $32.55
1.3× 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 Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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