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MONROE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY

Community/Behavioral Health·MONROE, MI·NPI: 1245303890Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $55.3M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$55.3M

$55,285,114

Total Claims

290K

Beneficiaries

175K

1.7 claims/patient

Avg Cost/Claim

$191

Monthly Spending Trend

Yearly Spending

2018
$7.1M
-6%
2019
$6.6M
-31%
2020
$4.6M
+60%
2021
$7.3M
+15%
2022
$8.4M
+10%
2023
$9.2M
+29%
2024
$12.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 36 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 32% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$17.5M

85K claims · 31.7%

Your Cost: $204.97/claim|Median: $69.56
2.9× median
H2030Top 10%

Mental health clubhouse services, per 15 minutes

$4.4M

25K claims · 7.9%

Your Cost: $173.04/claim|Median: $73.58
2.4× median
99214Top 1%

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

$4.0M

20K claims · 7.2%

Your Cost: $203.85/claim|Median: $53.41
3.8× median
H0036Top 10%

Community psychiatric supportive treatment, per 15 min

$3.7M

15K claims · 6.7%

Your Cost: $239.95/claim|Median: $76.05
3.2× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$3.6M

7,344 claims · 6.6%

Your Cost: $493.46/claim|Median: $9.56
51.6× median
H0039Normal range

Assertive community treatment, per diem

$3.4M

20K claims · 6.1%

Your Cost: $171.50/claim|Median: $132.62
1.3× median
90837Top 1%

Psychotherapy, 60 minutes

$3.2M

7,718 claims · 5.7%

Your Cost: $408.33/claim|Median: $85.66
4.8× median
H2021Top 25%

Community-based wrap-around services, per 15 min

$1.4M

4,082 claims · 2.5%

Your Cost: $345.15/claim|Median: $169.11
2.0× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$1.3M

5,708 claims · 2.3%

Your Cost: $223.91/claim|Median: $55.04
4.1× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$1.3M

2,283 claims · 2.3%

Your Cost: $551.66/claim|Median: $108.91
5.1× median
99213Top 5%

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

$1.2M

8,800 claims · 2.2%

Your Cost: $141.22/claim|Median: $37.81
3.7× median
T1016Top 25%

Case management, each 15 min

$1.2M

8,104 claims · 2.1%

Your Cost: $145.13/claim|Median: $49.62
2.9× median
90832Top 1%

Psychotherapy, 30 minutes

$1.2M

2,820 claims · 2.1%

Your Cost: $415.31/claim|Median: $41.28
10.1× median
H0002Top 10%

Behavioral health screening

$1.1M

6,765 claims · 2.0%

Your Cost: $160.77/claim|Median: $38.77
4.1× median
T1001Top 1%

Nursing assessment/evaluation, per visit

$1.1M

2,445 claims · 2.0%

Your Cost: $442.62/claim|Median: $49.05
9.0× median
90834Top 5%

Psychotherapy, 45 minutes

$884K

3,725 claims · 1.6%

Your Cost: $237.30/claim|Median: $63.65
3.7× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$770K

3,416 claims · 1.4%

Your Cost: $225.32/claim|Median: $106.70
2.1× median
90791Top 5%

Psychiatric diagnostic evaluation

$714K

2,469 claims · 1.3%

Your Cost: $289.27/claim|Median: $99.21
2.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$607K

1,369 claims · 1.1%

Your Cost: $443.05/claim|Median: $215.80
2.1× median
H0031Top 25%

Mental health assessment by non-physician

$593K

3,780 claims · 1.1%

Your Cost: $156.95/claim|Median: $96.18
1.6× median
90847Top 5%

Family psychotherapy with patient, 50 min

$592K

2,259 claims · 1.1%

Your Cost: $262.15/claim|Median: $77.33
3.4× median
S5111Normal range

Home care training, family member, per session

$533K

5,759 claims · 1.0%

Your Cost: $92.59/claim|Median: $87.13
1.1× median
90846Top 1%

Family psychotherapy without patient, 50 min

$390K

1,255 claims · 0.7%

Your Cost: $310.90/claim|Median: $76.61
4.1× median
S9482Normal range

Family stabilization services, per 15 minutes

$201K

1,742 claims · 0.4%

Your Cost: $115.19/claim|Median: $625.59
0.2× median
99215Top 5%

Office/outpatient visit, high complexity

$198K

832 claims · 0.4%

Your Cost: $238.16/claim|Median: $74.09
3.2× median
96137Top 5%

Psychological/neuropsychological testing, each additional 30 min

$112K

273 claims · 0.2%

Your Cost: $409.59/claim|Median: $92.96
4.4× median
H0032Normal range

Mental health service plan development

$72K

699 claims · 0.1%

Your Cost: $102.38/claim|Median: $80.64
1.3× median
90853Top 5%

Group psychotherapy

$63K

299 claims · 0.1%

Your Cost: $209.58/claim|Median: $25.02
8.4× median
99204Normal range

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

$39K

582 claims · 0.1%

Your Cost: $66.37/claim|Median: $84.03
0.8× median
H2023Normal range

Supported employment, per 15 min

$34K

564 claims · 0.1%

Your Cost: $60.21/claim|Median: $103.94
0.6× median
99212Top 5%

Office/outpatient visit, low complexity

$22K

187 claims · 0.0%

Your Cost: $119.14/claim|Median: $25.06
4.8× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$20K

145 claims · 0.0%

Your Cost: $136.66/claim|Median: $40.11
3.4× median
97535Top 25%

Self-care/home management training, per 15 minutes

$813

16 claims · 0.0%

Your Cost: $50.78/claim|Median: $18.18
2.8× median
T1040Normal range

Medicaid certified CCBHC services

$368

37K claims · 0.0%

Your Cost: $0.01/claim|Median: $130.29
0.0× median
S0280Normal range

Medical home program, comprehensive care management

$19

1,932 claims · 0.0%

Your Cost: $0.01/claim|Median: $48.38
0.0× median
97165Normal range

OT evaluation, low complexity

$12

12 claims · 0.0%

Your Cost: $1.00/claim|Median: $46.78
0.0× 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 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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