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COUNTY OF LAPEER

Community/Behavioral Health·LAPEER, MI·NPI: 1275585929Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $58.7M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$58.7M

$58,708,807

Total Claims

412K

Beneficiaries

165K

2.5 claims/patient

Avg Cost/Claim

$142

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+25%
2019
$7.6M
-15%
2020
$6.4M
+31%
2021
$8.4M
+7%
2022
$9.0M
+26%
2023
$11.4M
-14%
2024
$9.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 38 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 14% of total spending.

T1017Top 10%

Targeted case management, per 15 min

$8.3M

28K claims · 14.1%

Your Cost: $296.22/claim|Median: $69.56
4.3× median
H2014Normal range

Skills training & development, per 15 min

$6.6M

52K claims · 11.2%

Your Cost: $127.31/claim|Median: $83.88
1.5× median
T1016Top 25%

Case management, each 15 min

$6.5M

35K claims · 11.0%

Your Cost: $183.99/claim|Median: $49.62
3.7× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$6.2M

80K claims · 10.6%

Your Cost: $78.37/claim|Median: $73.58
1.1× median
97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$4.7M

19K claims · 7.9%

Your Cost: $240.78/claim|Median: $167.38
1.4× median
H0039Normal range

Assertive community treatment, per diem

$3.8M

25K claims · 6.5%

Your Cost: $151.20/claim|Median: $132.62
1.1× median
90834Top 5%

Psychotherapy, 45 minutes

$3.5M

23K claims · 5.9%

Your Cost: $149.60/claim|Median: $63.65
2.4× median
90837Top 5%

Psychotherapy, 60 minutes

$3.0M

16K claims · 5.1%

Your Cost: $192.58/claim|Median: $85.66
2.2× median
T1040Normal range

Medicaid certified CCBHC services

$2.0M

37K claims · 3.4%

Your Cost: $53.29/claim|Median: $130.29
0.4× median
H0032Top 25%

Mental health service plan development

$1.7M

12K claims · 2.9%

Your Cost: $145.83/claim|Median: $80.64
1.8× median
99214Top 5%

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

$1.5M

9,908 claims · 2.6%

Your Cost: $152.47/claim|Median: $53.41
2.9× median
Q3014Top 5%

Telehealth originating site facility fee

$1.4M

8,807 claims · 2.5%

Your Cost: $164.03/claim|Median: $15.37
10.7× median
99213Top 5%

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

$1.0M

8,969 claims · 1.7%

Your Cost: $114.53/claim|Median: $37.81
3.0× median
99215Top 5%

Office/outpatient visit, high complexity

$1.0M

4,841 claims · 1.7%

Your Cost: $211.11/claim|Median: $74.09
2.8× median
90791Top 5%

Psychiatric diagnostic evaluation

$989K

3,483 claims · 1.7%

Your Cost: $283.98/claim|Median: $99.21
2.9× median
H0031Top 10%

Mental health assessment by non-physician

$903K

3,596 claims · 1.5%

Your Cost: $251.21/claim|Median: $96.18
2.6× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$899K

4,151 claims · 1.5%

Your Cost: $216.62/claim|Median: $55.04
3.9× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$798K

1,895 claims · 1.4%

Your Cost: $421.31/claim|Median: $108.91
3.9× median
S5111Top 25%

Home care training, family member, per session

$676K

4,690 claims · 1.2%

Your Cost: $144.20/claim|Median: $87.13
1.7× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$636K

4,753 claims · 1.1%

Your Cost: $133.86/claim|Median: $146.45
0.9× median
90847Top 10%

Family psychotherapy with patient, 50 min

$565K

3,773 claims · 1.0%

Your Cost: $149.87/claim|Median: $77.33
1.9× median
90832Top 10%

Psychotherapy, 30 minutes

$563K

5,603 claims · 1.0%

Your Cost: $100.55/claim|Median: $41.28
2.4× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$435K

2,215 claims · 0.7%

Your Cost: $196.29/claim|Median: $106.70
1.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$210K

7,978 claims · 0.4%

Your Cost: $26.33/claim|Median: $96.24
0.3× median
H2023Normal range

Supported employment, per 15 min

$194K

1,876 claims · 0.3%

Your Cost: $103.28/claim|Median: $103.94
1.0× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$185K

2,897 claims · 0.3%

Your Cost: $63.70/claim|Median: $9.56
6.7× median
90853Top 10%

Group psychotherapy

$129K

1,513 claims · 0.2%

Your Cost: $85.30/claim|Median: $25.02
3.4× median
S9482Normal range

Family stabilization services, per 15 minutes

$75K

495 claims · 0.1%

Your Cost: $152.24/claim|Median: $625.59
0.2× median
0369TNormal range

$71K

982 claims · 0.1%

Your Cost: $72.02/claim|Median: $102.36
0.7× median
97156Normal range

$63K

932 claims · 0.1%

Your Cost: $67.86/claim|Median: $88.65
0.8× median
90846Top 5%

Family psychotherapy without patient, 50 min

$47K

247 claims · 0.1%

Your Cost: $190.11/claim|Median: $76.61
2.5× median
0368TNormal range

$37K

1,005 claims · 0.1%

Your Cost: $36.87/claim|Median: $44.63
0.8× median
H2011Normal range

Crisis intervention service, per 15 minutes

$18K

110 claims · 0.0%

Your Cost: $159.63/claim|Median: $215.80
0.7× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$17K

83 claims · 0.0%

Your Cost: $206.07/claim|Median: $84.12
2.4× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$17K

892 claims · 0.0%

Your Cost: $19.08/claim|Median: $114.71
0.2× median
90785Top 1%

$15K

48 claims · 0.0%

Your Cost: $303.93/claim|Median: $6.43
47.3× median
99212Top 5%

Office/outpatient visit, low complexity

$4K

42 claims · 0.0%

Your Cost: $104.24/claim|Median: $25.06
4.2× median
T1002Normal range

RN services, per 15 minutes

$3K

130 claims · 0.0%

Your Cost: $20.84/claim|Median: $37.42
0.6× 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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