Community Mental Health Authority of Clinton Eaton Ingham Counties
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $309.25 per claim for T1017 (Targeted case management, per 15 min), which is 4.4× the national median of $69.56.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 44 procedure codes: T1017 at 4.4× median, H0036 at 4.0× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $309.25 per claim for T1017 (Targeted case management, per 15 min) — 4.5× the national median of $69.56.
Bills $305.37 per claim for H0036 (Community psychiatric supportive treatment, per 15 min) — 4.0× the national median of $76.05.
Bills $268.08 per claim for 90837 (Psychotherapy, 60 minutes) — 3.1× the national median of $85.66.
Billing in the top 1% nationally for 6 procedure codes: H0031, T1023, 99213.
This is a statistical summary, not an accusation. See our methodology.
Compared to Clinic/Center Mental Health (Including Community Mental Health Center) Peers
Total spending distribution among 28 providers in this specialty
This provider's total spending of $368.4M is at the 90th percentile among 28 Clinic/Center Mental Health (Including Community Mental Health Center) providers.
Above 90th percentile for this specialty — higher spending than 25 of 28 peers
Total Paid
$368.4M
$368,389,282
Total Claims
2.2M
Beneficiaries
753K
2.9 claims/patient
Avg Cost/Claim
$168
#179 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Community Mental Health Authority of Clinton Eaton Ingham Counties is a Clinic/Center Mental Health (Including Community Mental Health Center) provider based in Lansing, MI. From the 2018–2024 period, this provider received $368.4M in Medicaid payments across 2.2M claims.
Why This Matters
This provider received $368.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 46,048 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 21% of total spending.
$77.5M
251K claims
$309.25
$69.56
Targeted case management, per 15 min
$77.5M
251K claims · 21.0%
$39.5M
129K claims
$305.37
$76.05
Community psychiatric supportive treatment, per 15 min
$39.5M
129K claims · 10.7%
Psychotherapy, 60 minutes
$22.5M
84K claims · 6.1%
$18.5M
279K claims
$66.23
$96.24
Comprehensive community support services, per 15 min
$18.5M
279K claims · 5.0%
$18.4M
26K claims
$712.87
$96.18
Mental health assessment by non-physician
$18.4M
26K claims · 5.0%
$16.4M
17K claims
$951.91
$106.70
Screening to determine appropriateness of consideration for program
$16.4M
17K claims · 4.4%
$16.0M
147K claims
$108.79
$321.53
Comprehensive community support services, per 15 min
$16.0M
147K claims · 4.3%
$14.5M
26K claims
$556.34
$467.51
Behavioral health; short-term residential, per diem
$14.5M
26K claims · 3.9%
$11.9M
112K claims
$106.62
$83.88
Skills training & development, per 15 min
$11.9M
112K claims · 3.2%
Supported housing, per diem
$11.1M
37K claims · 3.0%
$9.6M
53K claims
$179.83
$132.62
Assertive community treatment, per diem
$9.6M
53K claims · 2.6%
$9.2M
147K claims
$62.70
$296.27
Personal care services, per diem
$9.2M
147K claims · 2.5%
Psychotherapy, 45 minutes
$8.7M
39K claims · 2.4%
$6.9M
37K claims
$188.48
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$6.9M
37K claims · 1.9%
$6.6M
28K claims
$237.37
$77.33
Family psychotherapy with patient, 50 min
$6.6M
28K claims · 1.8%
$6.5M
24K claims
$271.87
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$6.5M
24K claims · 1.8%
$5.7M
28K claims
$205.84
$73.58
Mental health clubhouse services, per 15 minutes
$5.7M
28K claims · 1.5%
Psychiatric diagnostic evaluation
$5.0M
8K claims · 1.3%
$4.6M
10K claims
$462.17
$215.80
Crisis intervention service, per 15 minutes
$4.6M
10K claims · 1.2%
Group psychotherapy
$4.5M
27K claims · 1.2%
$4.2M
47K claims
$90.80
$9.56
Therapeutic injection, subcutaneous/intramuscular
$4.2M
47K claims · 1.2%
$3.9M
4K claims
$903.93
$108.91
Psychiatric diagnostic evaluation with medical services
$3.9M
4K claims · 1.1%
$3.8M
21K claims
$186.76
$357.16
Behavioral health; residential, per diem
$3.8M
21K claims · 1.0%
$3.7M
5K claims
$785.09
$336.31
Community-based wrap-around services, per diem
$3.7M
5K claims · 1.0%
Psychotherapy, 30 minutes
$3.7M
20K claims · 1.0%
Case management, each 15 min
$3.4M
11K claims · 0.9%
$3.1M
10K claims
$321.18
$80.64
Mental health service plan development
$3.1M
10K claims · 0.8%
$3.1M
20K claims
$156.08
$55.04
Self-help/peer services, per 15 minutes
$3.1M
20K claims · 0.8%
Supported employment, per 15 min
$3.0M
5K claims · 0.8%
RN services, per 15 minutes
$2.7M
6K claims · 0.7%
Other Top Providers in Michigan
View all →Similar Providers
Other top providers in Clinic/Center Mental Health (Including Community Mental Health Center)