Is COMMON GROUND flagged for Medicaid fraud?

COMMON GROUND (NPI: 1225100944) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COMMON GROUND bill Medicaid?

COMMON GROUND received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in PONTIAC, MI.

What is NPI 1225100944?

NPI 1225100944 is the National Provider Identifier for COMMON GROUND. They are a Community/Behavioral Health provider based in PONTIAC, MI. This NPI is registered with the CMS NPI Registry.

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COMMON GROUND

Community/Behavioral Health·PONTIAC, MI·NPI: 1225100944Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.5M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$44.5M

$44,541,521

Total Claims

110K

Beneficiaries

79K

1.4 claims/patient

Avg Cost/Claim

$406

Monthly Spending Trend

Yearly Spending

2018

$7.5M

-12%

2019

$6.6M

-1%

2020

$6.5M

+32%

2021

$8.6M

-33%

2022

$5.8M

-10%

2023

$5.2M

-15%

2024

$4.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (T1023 (Screening to determine appropriateness of consideration for program)) accounts for 36% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1023Screening to determine appropriateness of consideration for programSee all providers →

$16.2M

17K claims

$952.56

$106.70

8.9×

Top 1%

T1023Top 1%

Screening to determine appropriateness of consideration for program

$16.2M

17K claims · 36.4%

Your Cost: $952.56/claim|Median: $106.70

8.9× median

H0018Behavioral health; short-term residential, per diemSee all providers →

$10.3M

4,485 claims

$2,291.88

$467.51

4.9×

Top 25%

H0018Top 25%

Behavioral health; short-term residential, per diem

$10.3M

4,485 claims · 23.1%

Your Cost: $2,291.88/claim|Median: $467.51

4.9× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$9.7M

43K claims

$225.06

$215.80

1.0×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$9.7M

43K claims · 21.7%

Your Cost: $225.06/claim|Median: $215.80

1.0× median

90791Psychiatric diagnostic evaluationSee all providers →

$3.4M

9,095 claims

$376.15

$99.21

3.8×

Top 1%

90791Top 1%

Psychiatric diagnostic evaluation

$3.4M

9,095 claims · 7.7%

Your Cost: $376.15/claim|Median: $99.21

3.8× median

T1002RN services, per 15 minutesSee all providers →

$1.8M

14K claims

$127.18

$37.42

3.4×

Top 25%

T1002Top 25%

RN services, per 15 minutes

$1.8M

14K claims · 4.0%

Your Cost: $127.18/claim|Median: $37.42

3.4× median

96372Therapeutic injection, subcutaneous/intramuscularSee all providers →

$1.3M

9,079 claims

$137.83

$9.56

14.4×

Top 1%

96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$1.3M

9,079 claims · 2.8%

Your Cost: $137.83/claim|Median: $9.56

14.4× median

S9976 See all providers →

$901K

4,253 claims

$211.93

$64.43

3.3×

Top 10%

S9976Top 10%

$901K

4,253 claims · 2.0%

Your Cost: $211.93/claim|Median: $64.43

3.3× median

99211Office/outpatient visit, minimal complexitySee all providers →

$402K

3,571 claims

$112.58

$12.93

8.7×

Top 5%

99211Top 5%

Office/outpatient visit, minimal complexity

$402K

3,571 claims · 0.9%

Your Cost: $112.58/claim|Median: $12.93

8.7× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$229K

834 claims

$274.09

$108.91

2.5×

Top 10%

90792Top 10%

Psychiatric diagnostic evaluation with medical services

$229K

834 claims · 0.5%

Your Cost: $274.09/claim|Median: $108.91

2.5× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$181K

1,956 claims

$92.66

$55.04

1.7×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$181K

1,956 claims · 0.4%

Your Cost: $92.66/claim|Median: $55.04

1.7× median

S5111Home care training, family member, per sessionSee all providers →

$120K

1,085 claims

$110.39

$87.13

1.3×

Normal range

S5111Normal range

Home care training, family member, per session

$120K

1,085 claims · 0.3%

Your Cost: $110.39/claim|Median: $87.13

1.3× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$27K

399 claims

$68.29

$53.41

1.3×

Normal range

99214Normal range

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

$27K

399 claims · 0.1%

Your Cost: $68.29/claim|Median: $53.41

1.3× median

T1001Nursing assessment/evaluation, per visitSee all providers →

$15K

47 claims

$316.70

$49.05

6.5×

Top 5%

T1001Top 5%

Nursing assessment/evaluation, per visit

$15K

47 claims · 0.0%

Your Cost: $316.70/claim|Median: $49.05

6.5× median

90838Psychotherapy, 60 min, add-on to E/MSee all providers →

$13K

194 claims

$66.45

$67.05

1.0×

Normal range

90838Normal range

Psychotherapy, 60 min, add-on to E/M

$13K

194 claims · 0.0%

Your Cost: $66.45/claim|Median: $67.05

1.0× median

H0032Mental health service plan developmentSee all providers →

$10K

66 claims

$145.71

$80.64

1.8×

Top 25%

H0032Top 25%

Mental health service plan development

$10K

66 claims · 0.0%

Your Cost: $145.71/claim|Median: $80.64

1.8× median

99205Office/outpatient visit, new patient, high complexitySee all providers →

$9K

80 claims

$118.52

$111.09

1.1×

Normal range

99205Normal range

Office/outpatient visit, new patient, high complexity

$9K

80 claims · 0.0%

Your Cost: $118.52/claim|Median: $111.09

1.1× median

90832Psychotherapy, 30 minutesSee all providers →

$8K

223 claims

$37.48

$41.28

0.9×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$8K

223 claims · 0.0%

Your Cost: $37.48/claim|Median: $41.28

0.9× median

H0034Medication training and management, per 15 minSee all providers →

$7K

22 claims

$300.11

$56.90

5.3×

Top 10%

H0034Top 10%

Medication training and management, per 15 min

$7K

22 claims · 0.0%

Your Cost: $300.11/claim|Median: $56.90

5.3× median

90833Psychotherapy, 30 min, add-on to E/M serviceSee all providers →

$4K

102 claims

$36.25

$38.83

0.9×

Normal range

90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$4K

102 claims · 0.0%

Your Cost: $36.25/claim|Median: $38.83

0.9× median

99215Office/outpatient visit, high complexitySee all providers →

$3K

30 claims

$109.33

$74.09

1.5×

Top 25%

99215Top 25%

Office/outpatient visit, high complexity

$3K

30 claims · 0.0%

Your Cost: $109.33/claim|Median: $74.09

1.5× median

96127Brief emotional/behavioral assessment, per standardized instrumentSee all providers →

$97

178 claims

$0.54

$3.67

0.1×

Normal range

96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$97

178 claims · 0.0%

Your Cost: $0.54/claim|Median: $3.67

0.1× median

Other Top Providers in Michigan

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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 Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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