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STARFISH FAMILY SERVICES INC.

Community/Behavioral Health·INKSTER, MI·NPI: 1184865776Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $79.1M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$79.1M

$79,064,417

Total Claims

315K

Beneficiaries

161K

2.0 claims/patient

Avg Cost/Claim

$251

Monthly Spending Trend

Yearly Spending

2018
$12.0M
+18%
2019
$14.2M
-25%
2020
$10.6M
-7%
2021
$9.9M
+14%
2022
$11.3M
-0%
2023
$11.2M
-12%
2024
$9.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0036 (Community psychiatric supportive treatment, per 15 min)) accounts for 45% of total spending.

H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$35.3M

92K claims · 44.6%

Your Cost: $382.21/claim|Median: $76.05
5.0× median
T1017Top 10%

Targeted case management, per 15 min

$12.8M

43K claims · 16.2%

Your Cost: $297.75/claim|Median: $69.56
4.3× median
H2021Top 25%

Community-based wrap-around services, per 15 min

$6.8M

14K claims · 8.6%

Your Cost: $479.30/claim|Median: $169.11
2.8× median
90834Top 5%

Psychotherapy, 45 minutes

$4.7M

34K claims · 6.0%

Your Cost: $141.06/claim|Median: $63.65
2.2× median
H0032Top 25%

Mental health service plan development

$3.8M

20K claims · 4.8%

Your Cost: $192.68/claim|Median: $80.64
2.4× median
H0031Top 25%

Mental health assessment by non-physician

$2.8M

14K claims · 3.6%

Your Cost: $198.38/claim|Median: $96.18
2.1× median
T1016Top 10%

Case management, each 15 min

$2.8M

11K claims · 3.5%

Your Cost: $249.26/claim|Median: $49.62
5.0× median
90832Top 10%

Psychotherapy, 30 minutes

$2.4M

26K claims · 3.0%

Your Cost: $91.10/claim|Median: $41.28
2.2× median
90847Top 25%

Family psychotherapy with patient, 50 min

$2.1M

16K claims · 2.7%

Your Cost: $132.08/claim|Median: $77.33
1.7× median
99213Top 5%

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

$908K

6,750 claims · 1.1%

Your Cost: $134.58/claim|Median: $37.81
3.6× median
S5111Top 25%

Home care training, family member, per session

$789K

4,606 claims · 1.0%

Your Cost: $171.23/claim|Median: $87.13
2.0× median
99214Top 5%

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

$710K

4,096 claims · 0.9%

Your Cost: $173.28/claim|Median: $53.41
3.2× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$651K

2,328 claims · 0.8%

Your Cost: $279.55/claim|Median: $108.91
2.6× median
90846Top 10%

Family psychotherapy without patient, 50 min

$625K

4,830 claims · 0.8%

Your Cost: $129.35/claim|Median: $76.61
1.7× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$474K

6,628 claims · 0.6%

Your Cost: $71.50/claim|Median: $167.38
0.4× median
90837Top 5%

Psychotherapy, 60 minutes

$474K

2,805 claims · 0.6%

Your Cost: $168.85/claim|Median: $85.66
2.0× median
97530Top 10%

Therapeutic activities, each 15 min

$225K

2,672 claims · 0.3%

Your Cost: $84.13/claim|Median: $33.11
2.5× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$178K

1,982 claims · 0.2%

Your Cost: $89.72/claim|Median: $106.05
0.8× median
99212Top 10%

Office/outpatient visit, low complexity

$152K

1,870 claims · 0.2%

Your Cost: $81.23/claim|Median: $25.06
3.2× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$126K

1,270 claims · 0.2%

Your Cost: $99.31/claim|Median: $146.45
0.7× median
92507Top 25%

Speech/hearing/language treatment

$64K

807 claims · 0.1%

Your Cost: $78.72/claim|Median: $49.45
1.6× median
0364TTop 25%

$55K

1,995 claims · 0.1%

Your Cost: $27.58/claim|Median: $21.31
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$49K

396 claims · 0.1%

Your Cost: $124.11/claim|Median: $99.21
1.3× median
97156Normal range

$36K

598 claims · 0.0%

Your Cost: $60.54/claim|Median: $88.65
0.7× median
0369TNormal range

$32K

395 claims · 0.0%

Your Cost: $81.87/claim|Median: $102.36
0.8× median
96110Top 5%

Developmental screening, per standardized instrument

$28K

255 claims · 0.0%

Your Cost: $110.56/claim|Median: $9.10
12.1× median
0368TTop 25%

$27K

443 claims · 0.0%

Your Cost: $60.00/claim|Median: $44.63
1.3× median
90853Top 25%

Group psychotherapy

$17K

336 claims · 0.0%

Your Cost: $50.21/claim|Median: $25.02
2.0× median
90849Normal range

Multiple-family group psychotherapy

$5K

110 claims · 0.0%

Your Cost: $49.25/claim|Median: $40.78
1.2× median
H0002Normal range

Behavioral health screening

$4K

60 claims · 0.0%

Your Cost: $60.00/claim|Median: $38.77
1.5× median

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$590.6M

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$422.3M

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$368.4M

Macomb Oakland Regional Center Inc.

Community/Behavioral Health

$342.6M

Similar Providers

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Sturgis, MI

$2.68B

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Montgomery, AL

$2.25B

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$1.73B

County of Riverside

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$1.40B

City & County of San Francisco

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$1.34B

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