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WEST MICHIGAN COMMUNITY MENTAL HEALTH SYSTEM

Counselor, Mental Health·LUDINGTON, MI·NPI: 1275646309Share

Compared to Counselor, Mental Health Peers

Total spending distribution among 27 providers in this specialty

P25MedianP75P90

This provider's total spending of $101.9M is at the 90th percentile among 27 Counselor, Mental Health providers.

Above 90th percentile for this specialty — higher spending than 24 of 27 peers

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

Total Paid

$101.9M

$101,882,705

Total Claims

597K

Beneficiaries

267K

2.2 claims/patient

Avg Cost/Claim

$171

Monthly Spending Trend

Yearly Spending

2018
$10.2M
+14%
2019
$11.6M
-25%
2020
$8.8M
+42%
2021
$12.4M
+47%
2022
$18.3M
+38%
2023
$25.3M
-40%
2024
$15.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 17% of total spending.

T1040Normal range

Medicaid certified CCBHC services

$17.7M

129K claims · 17.4%

Your Cost: $137.65/claim|Median: $130.29
1.1× median
T1017Top 25%

Targeted case management, per 15 min

$16.1M

64K claims · 15.9%

Your Cost: $252.83/claim|Median: $69.56
3.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$14.1M

119K claims · 13.9%

Your Cost: $118.88/claim|Median: $96.24
1.2× median
90834Top 5%

Psychotherapy, 45 minutes

$5.2M

36K claims · 5.1%

Your Cost: $145.05/claim|Median: $63.65
2.3× median
H0039Normal range

Assertive community treatment, per diem

$4.8M

25K claims · 4.7%

Your Cost: $197.10/claim|Median: $132.62
1.5× median
99213Top 1%

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

$4.7M

18K claims · 4.7%

Your Cost: $258.43/claim|Median: $37.81
6.8× median
H2014Normal range

Skills training & development, per 15 min

$3.2M

36K claims · 3.1%

Your Cost: $88.45/claim|Median: $83.88
1.1× median
90837Top 5%

Psychotherapy, 60 minutes

$2.6M

13K claims · 2.6%

Your Cost: $201.11/claim|Median: $85.66
2.3× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$2.5M

9,452 claims · 2.4%

Your Cost: $259.82/claim|Median: $55.04
4.7× median
90791Top 1%

Psychiatric diagnostic evaluation

$2.5M

5,103 claims · 2.4%

Your Cost: $481.20/claim|Median: $99.21
4.9× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$2.4M

13K claims · 2.4%

Your Cost: $182.21/claim|Median: $167.38
1.1× median
H0032Top 25%

Mental health service plan development

$2.4M

14K claims · 2.3%

Your Cost: $169.54/claim|Median: $80.64
2.1× median
99214Top 1%

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

$2.1M

7,742 claims · 2.0%

Your Cost: $266.52/claim|Median: $53.41
5.0× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$2.0M

3,270 claims · 2.0%

Your Cost: $616.85/claim|Median: $215.80
2.9× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$2.0M

6,705 claims · 1.9%

Your Cost: $292.53/claim|Median: $76.05
3.8× median
H0002Top 5%

Behavioral health screening

$1.7M

8,251 claims · 1.7%

Your Cost: $206.55/claim|Median: $38.77
5.3× median
T1023Top 1%

Screening to determine appropriateness of consideration for program

$1.6M

1,811 claims · 1.6%

Your Cost: $904.55/claim|Median: $106.70
8.5× median
T1012Top 25%

Alcohol/drug services, skills development

$1.6M

11K claims · 1.5%

Your Cost: $146.75/claim|Median: $40.78
3.6× median
97155Top 5%

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.5M

4,131 claims · 1.5%

Your Cost: $363.01/claim|Median: $146.45
2.5× median
90832Top 10%

Psychotherapy, 30 minutes

$1.3M

12K claims · 1.3%

Your Cost: $106.93/claim|Median: $41.28
2.6× median
H0050Top 5%

$1.2M

7,278 claims · 1.2%

Your Cost: $170.92/claim|Median: $46.71
3.7× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$1.2M

5,687 claims · 1.1%

Your Cost: $203.56/claim|Median: $9.56
21.3× median
H0031Top 10%

Mental health assessment by non-physician

$1.1M

3,626 claims · 1.1%

Your Cost: $306.17/claim|Median: $96.18
3.2× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$783K

807 claims · 0.8%

Your Cost: $970.75/claim|Median: $108.91
8.9× median
T1016Top 25%

Case management, each 15 min

$681K

4,818 claims · 0.7%

Your Cost: $141.27/claim|Median: $49.62
2.8× median
S5111Top 25%

Home care training, family member, per session

$663K

3,101 claims · 0.7%

Your Cost: $213.74/claim|Median: $87.13
2.5× median
H0001Top 5%

Alcohol and/or drug assessment

$552K

1,649 claims · 0.5%

Your Cost: $334.89/claim|Median: $94.22
3.6× median
H2021Normal range

Community-based wrap-around services, per 15 min

$495K

1,637 claims · 0.5%

Your Cost: $302.09/claim|Median: $169.11
1.8× median
T1002Top 25%

RN services, per 15 minutes

$483K

2,457 claims · 0.5%

Your Cost: $196.75/claim|Median: $37.42
5.3× median
97156Normal range

$408K

3,433 claims · 0.4%

Your Cost: $118.88/claim|Median: $88.65
1.3× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$359K

3,365 claims · 0.4%

Your Cost: $106.64/claim|Median: $106.05
1.0× median
90853Top 25%

Group psychotherapy

$307K

5,991 claims · 0.3%

Your Cost: $51.29/claim|Median: $25.02
2.0× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$307K

2,213 claims · 0.3%

Your Cost: $138.74/claim|Median: $74.63
1.9× median
99212Top 1%

Office/outpatient visit, low complexity

$215K

950 claims · 0.2%

Your Cost: $226.59/claim|Median: $25.06
9.0× median
T1007Top 10%

Alcohol/drug services, treatment plan review

$164K

919 claims · 0.2%

Your Cost: $178.30/claim|Median: $64.10
2.8× median
Q3014Top 5%

Telehealth originating site facility fee

$156K

4,709 claims · 0.2%

Your Cost: $33.14/claim|Median: $15.37
2.2× median
99211Top 1%

Office/outpatient visit, minimal complexity

$147K

785 claims · 0.1%

Your Cost: $187.78/claim|Median: $12.93
14.5× median
0368TTop 5%

$121K

826 claims · 0.1%

Your Cost: $146.02/claim|Median: $44.63
3.3× median
0364TTop 25%

$113K

3,399 claims · 0.1%

Your Cost: $33.29/claim|Median: $21.31
1.6× median
0369TNormal range

$102K

748 claims · 0.1%

Your Cost: $136.46/claim|Median: $102.36
1.3× median
H2023Normal range

Supported employment, per 15 min

$76K

943 claims · 0.1%

Your Cost: $80.15/claim|Median: $103.94
0.8× median
99215Top 1%

Office/outpatient visit, high complexity

$75K

187 claims · 0.1%

Your Cost: $401.85/claim|Median: $74.09
5.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$34K

655 claims · 0.0%

Your Cost: $52.49/claim|Median: $47.35
1.1× median
H0022Top 5%

$32K

250 claims · 0.0%

Your Cost: $127.91/claim|Median: $32.48
3.9× median
90839Top 1%

Psychotherapy for crisis, first 60 min

$19K

34 claims · 0.0%

Your Cost: $551.71/claim|Median: $83.98
6.6× median
H0048Top 5%

$18K

785 claims · 0.0%

Your Cost: $22.70/claim|Median: $13.25
1.7× median
97151Top 10%

Behavior identification assessment

$16K

41 claims · 0.0%

Your Cost: $388.39/claim|Median: $161.10
2.4× median
90846Top 5%

Family psychotherapy without patient, 50 min

$12K

67 claims · 0.0%

Your Cost: $175.38/claim|Median: $76.61
2.3× median
0370TNormal range

$9K

87 claims · 0.0%

Your Cost: $105.77/claim|Median: $88.49
1.2× median
90847Top 10%

Family psychotherapy with patient, 50 min

$2K

15 claims · 0.0%

Your Cost: $141.85/claim|Median: $77.33
1.8× 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 Counselor, Mental Health

Mountain Comprehensive Care Center, Inc.

Prestonsburg, KY

$243.1M

The Providence Center INC

Providence, RI

$170.8M

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