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

NORTHPOINTE BEHAVIORAL HEALTHCARE SYSTEM

Clinic/Center, Mental Health (Including Community Mental Health Center)·KINGSFORD, MI·NPI: 1205864881Share

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 $67.3M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$67.3M

$67,324,602

Total Claims

454K

Beneficiaries

129K

3.5 claims/patient

Avg Cost/Claim

$148

Monthly Spending Trend

Yearly Spending

2018
$8.9M
-6%
2019
$8.3M
-19%
2020
$6.7M
+53%
2021
$10.3M
+13%
2022
$11.6M
-7%
2023
$10.8M
-1%
2024
$10.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 48 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 24% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$16.4M

86K claims · 24.3%

Your Cost: $189.56/claim|Median: $321.53
0.6× median
T1017Top 25%

Targeted case management, per 15 min

$9.3M

41K claims · 13.8%

Your Cost: $224.99/claim|Median: $69.56
3.2× median
H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$4.7M

23K claims · 6.9%

Your Cost: $198.93/claim|Median: $76.05
2.6× median
T1016Top 25%

Case management, each 15 min

$4.5M

36K claims · 6.8%

Your Cost: $124.71/claim|Median: $49.62
2.5× median
T1020Normal range

Personal care services, per diem

$4.4M

86K claims · 6.6%

Your Cost: $51.15/claim|Median: $296.27
0.2× median
97153Top 5%

Adaptive behavior treatment by protocol, per 15 min

$2.6M

6,124 claims · 3.9%

Your Cost: $431.24/claim|Median: $167.38
2.6× median
T1023Top 1%

Screening to determine appropriateness of consideration for program

$2.3M

1,312 claims · 3.4%

Your Cost: $1,731.50/claim|Median: $106.70
16.2× median
99214Top 1%

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

$2.2M

7,928 claims · 3.3%

Your Cost: $276.87/claim|Median: $53.41
5.2× median
90837Top 5%

Psychotherapy, 60 minutes

$2.0M

8,516 claims · 3.0%

Your Cost: $233.72/claim|Median: $85.66
2.7× median
H2030Top 25%

Mental health clubhouse services, per 15 minutes

$1.9M

11K claims · 2.8%

Your Cost: $163.24/claim|Median: $73.58
2.2× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.8M

51K claims · 2.7%

Your Cost: $35.41/claim|Median: $96.24
0.4× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$1.7M

3,044 claims · 2.5%

Your Cost: $550.50/claim|Median: $215.80
2.6× median
H0039Normal range

Assertive community treatment, per diem

$1.6M

9,277 claims · 2.4%

Your Cost: $177.60/claim|Median: $132.62
1.3× median
H0032Top 10%

Mental health service plan development

$1.4M

6,688 claims · 2.1%

Your Cost: $206.99/claim|Median: $80.64
2.6× median
90834Top 5%

Psychotherapy, 45 minutes

$1.1M

6,099 claims · 1.6%

Your Cost: $172.52/claim|Median: $63.65
2.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$956K

9,818 claims · 1.4%

Your Cost: $97.41/claim|Median: $55.04
1.8× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$876K

1,035 claims · 1.3%

Your Cost: $845.94/claim|Median: $108.91
7.8× median
99213Top 1%

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

$811K

4,140 claims · 1.2%

Your Cost: $195.78/claim|Median: $37.81
5.2× median
99215Top 1%

Office/outpatient visit, high complexity

$762K

1,864 claims · 1.1%

Your Cost: $408.85/claim|Median: $74.09
5.5× median
H2014Normal range

Skills training & development, per 15 min

$754K

14K claims · 1.1%

Your Cost: $54.68/claim|Median: $83.88
0.7× median
S9446Top 5%

$676K

1,391 claims · 1.0%

Your Cost: $486.02/claim|Median: $13.66
35.6× median
T1002Top 25%

RN services, per 15 minutes

$651K

3,825 claims · 1.0%

Your Cost: $170.33/claim|Median: $37.42
4.6× median
99212Top 1%

Office/outpatient visit, low complexity

$515K

2,429 claims · 0.8%

Your Cost: $211.91/claim|Median: $25.06
8.5× median
90832Top 10%

Psychotherapy, 30 minutes

$446K

4,483 claims · 0.7%

Your Cost: $99.41/claim|Median: $41.28
2.4× median
H0002Top 1%

Behavioral health screening

$378K

834 claims · 0.6%

Your Cost: $452.70/claim|Median: $38.77
11.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$350K

2,411 claims · 0.5%

Your Cost: $145.25/claim|Median: $99.21
1.5× median
97155Top 10%

Adaptive behavior treatment with protocol modification, per 15 minutes

$335K

1,306 claims · 0.5%

Your Cost: $256.27/claim|Median: $146.45
1.7× median
H0031Top 10%

Mental health assessment by non-physician

$332K

1,319 claims · 0.5%

Your Cost: $251.91/claim|Median: $96.18
2.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$294K

2,456 claims · 0.4%

Your Cost: $119.64/claim|Median: $9.56
12.5× median
S0280Top 25%

Medical home program, comprehensive care management

$286K

1,550 claims · 0.4%

Your Cost: $184.24/claim|Median: $48.38
3.8× median
H2000Top 10%

Comprehensive multidisciplinary evaluation

$249K

722 claims · 0.4%

Your Cost: $344.96/claim|Median: $114.71
3.0× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$190K

698 claims · 0.3%

Your Cost: $272.55/claim|Median: $84.12
3.2× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$173K

2,612 claims · 0.3%

Your Cost: $66.23/claim|Median: $106.05
0.6× median
S5111Top 10%

Home care training, family member, per session

$112K

423 claims · 0.2%

Your Cost: $265.02/claim|Median: $87.13
3.0× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$101K

2,811 claims · 0.2%

Your Cost: $36.06/claim|Median: $28.63
1.3× median
90853Top 5%

Group psychotherapy

$65K

330 claims · 0.1%

Your Cost: $198.16/claim|Median: $25.02
7.9× median
0364TNormal range

$53K

2,662 claims · 0.1%

Your Cost: $19.75/claim|Median: $21.31
0.9× median
S9482Normal range

Family stabilization services, per 15 minutes

$48K

268 claims · 0.1%

Your Cost: $177.73/claim|Median: $625.59
0.3× median
0369TNormal range

$47K

701 claims · 0.1%

Your Cost: $67.40/claim|Median: $102.36
0.7× median
Q3014Normal range

Telehealth originating site facility fee

$46K

4,801 claims · 0.1%

Your Cost: $9.49/claim|Median: $15.37
0.6× median
0368TNormal range

$33K

778 claims · 0.0%

Your Cost: $42.55/claim|Median: $44.63
1.0× median
90847Top 5%

Family psychotherapy with patient, 50 min

$25K

121 claims · 0.0%

Your Cost: $208.53/claim|Median: $77.33
2.7× median
T1001Top 1%

Nursing assessment/evaluation, per visit

$11K

12 claims · 0.0%

Your Cost: $917.35/claim|Median: $49.05
18.7× median
97803Top 5%

Medical nutrition therapy, reassessment, group, thirty minutes

$4K

42 claims · 0.0%

Your Cost: $104.10/claim|Median: $24.33
4.3× median
97168Top 5%

OT re-evaluation

$3K

12 claims · 0.0%

Your Cost: $215.64/claim|Median: $50.43
4.3× median
97802Top 5%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$2K

12 claims · 0.0%

Your Cost: $169.60/claim|Median: $12.70
13.4× median
H2021Normal range

Community-based wrap-around services, per 15 min

$1K

70 claims · 0.0%

Your Cost: $19.86/claim|Median: $169.11
0.1× median
S9484Normal range

Crisis intervention mental health services, per hour

$1K

27 claims · 0.0%

Your Cost: $50.00/claim|Median: $249.51
0.2× median