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SANILAC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY

Community/Behavioral Health·SANDUSKY, MI·NPI: 1306854880Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$61.0M

$61,034,703

Total Claims

353K

Beneficiaries

144K

2.5 claims/patient

Avg Cost/Claim

$173

Monthly Spending Trend

Yearly Spending

2018
$8.7M
-2%
2019
$8.5M
-26%
2020
$6.3M
+18%
2021
$7.4M
-2%
2022
$7.3M
+49%
2023
$10.9M
+9%
2024
$11.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 39 distinct procedure codes. The top code (H2014 (Skills training & development, per 15 min)) accounts for 18% of total spending.

H2014Normal range

Skills training & development, per 15 min

$10.9M

78K claims · 17.9%

Your Cost: $139.75/claim|Median: $83.88
1.7× median
T1017Top 10%

Targeted case management, per 15 min

$7.0M

25K claims · 11.4%

Your Cost: $284.07/claim|Median: $69.56
4.1× median
97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$5.2M

18K claims · 8.5%

Your Cost: $285.65/claim|Median: $167.38
1.7× median
T1016Top 25%

Case management, each 15 min

$4.8M

25K claims · 7.8%

Your Cost: $190.96/claim|Median: $49.62
3.8× median
99213Top 1%

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

$4.2M

13K claims · 6.8%

Your Cost: $314.89/claim|Median: $37.81
8.3× median
H0039Normal range

Assertive community treatment, per diem

$4.0M

26K claims · 6.5%

Your Cost: $150.61/claim|Median: $132.62
1.1× median
90837Top 5%

Psychotherapy, 60 minutes

$3.8M

16K claims · 6.2%

Your Cost: $237.57/claim|Median: $85.66
2.8× median
90834Top 5%

Psychotherapy, 45 minutes

$3.1M

18K claims · 5.0%

Your Cost: $171.75/claim|Median: $63.65
2.7× median
T1040Normal range

Medicaid certified CCBHC services

$2.1M

33K claims · 3.5%

Your Cost: $65.13/claim|Median: $130.29
0.5× median
H0032Top 5%

Mental health service plan development

$2.1M

6,995 claims · 3.4%

Your Cost: $293.95/claim|Median: $80.64
3.6× median
H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$2.1M

9,810 claims · 3.4%

Your Cost: $209.30/claim|Median: $76.05
2.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.7M

29K claims · 2.8%

Your Cost: $59.85/claim|Median: $96.24
0.6× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$1.6M

8,700 claims · 2.6%

Your Cost: $180.76/claim|Median: $55.04
3.3× median
H0031Top 5%

Mental health assessment by non-physician

$1.5M

3,302 claims · 2.5%

Your Cost: $455.27/claim|Median: $96.18
4.7× median
90832Top 10%

Psychotherapy, 30 minutes

$1.0M

10K claims · 1.7%

Your Cost: $100.50/claim|Median: $41.28
2.4× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$766K

924 claims · 1.3%

Your Cost: $829.39/claim|Median: $108.91
7.6× median
S5111Top 10%

Home care training, family member, per session

$747K

3,363 claims · 1.2%

Your Cost: $222.22/claim|Median: $87.13
2.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$700K

1,863 claims · 1.1%

Your Cost: $375.49/claim|Median: $215.80
1.7× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$636K

4,817 claims · 1.0%

Your Cost: $132.13/claim|Median: $9.56
13.8× median
90791Top 1%

Psychiatric diagnostic evaluation

$599K

1,550 claims · 1.0%

Your Cost: $386.58/claim|Median: $99.21
3.9× median
99212Top 1%

Office/outpatient visit, low complexity

$547K

2,666 claims · 0.9%

Your Cost: $205.06/claim|Median: $25.06
8.2× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$435K

957 claims · 0.7%

Your Cost: $454.90/claim|Median: $106.70
4.3× median
90853Top 5%

Group psychotherapy

$413K

4,673 claims · 0.7%

Your Cost: $88.41/claim|Median: $25.02
3.5× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$400K

2,665 claims · 0.7%

Your Cost: $150.17/claim|Median: $106.05
1.4× median
99214Top 1%

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

$372K

849 claims · 0.6%

Your Cost: $438.59/claim|Median: $53.41
8.2× median
0364TTop 10%

$115K

2,675 claims · 0.2%

Your Cost: $43.16/claim|Median: $21.31
2.0× median
Q3014Top 10%

Telehealth originating site facility fee

$102K

3,177 claims · 0.2%

Your Cost: $32.12/claim|Median: $15.37
2.1× median
0368TTop 10%

$92K

1,257 claims · 0.2%

Your Cost: $73.05/claim|Median: $44.63
1.6× median
T1005Normal range

Respite care services, per 15 minutes

$69K

717 claims · 0.1%

Your Cost: $96.82/claim|Median: $71.40
1.4× median
97533Top 5%

$51K

265 claims · 0.1%

Your Cost: $191.54/claim|Median: $48.71
3.9× median
0369TNormal range

$47K

693 claims · 0.1%

Your Cost: $68.12/claim|Median: $102.36
0.7× median
90847Top 5%

Family psychotherapy with patient, 50 min

$39K

128 claims · 0.1%

Your Cost: $307.40/claim|Median: $77.33
4.0× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$21K

153 claims · 0.0%

Your Cost: $140.18/claim|Median: $146.45
1.0× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$18K

554 claims · 0.0%

Your Cost: $33.04/claim|Median: $55.95
0.6× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$13K

260 claims · 0.0%

Your Cost: $51.56/claim|Median: $114.71
0.4× median
97167Top 1%

OT evaluation, high complexity

$5K

12 claims · 0.0%

Your Cost: $400.97/claim|Median: $70.96
5.7× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$2K

48 claims · 0.0%

Your Cost: $32.12/claim|Median: $141.34
0.2× median
0370TNormal range

$1K

17 claims · 0.0%

Your Cost: $66.57/claim|Median: $88.49
0.8× median
0366TTop 1%

$1K

38 claims · 0.0%

Your Cost: $28.76/claim|Median: $10.37
2.8× 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 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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