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COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY

Community/Behavioral Health·CENTREVILLE, MI·NPI: 1366438483Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.3M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$30.3M

$30,273,051

Total Claims

330K

Beneficiaries

165K

2.0 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$3.8M
-12%
2019
$3.4M
-19%
2020
$2.7M
+42%
2021
$3.9M
+14%
2022
$4.5M
+55%
2023
$6.9M
-27%
2024
$5.0M

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 20% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$6.1M

37K claims · 20.1%

Your Cost: $163.35/claim|Median: $69.56
2.3× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$3.9M

54K claims · 12.8%

Your Cost: $71.91/claim|Median: $73.58
1.0× median
H0039Top 25%

Assertive community treatment, per diem

$3.0M

12K claims · 9.8%

Your Cost: $242.72/claim|Median: $132.62
1.8× median
90837Top 25%

Psychotherapy, 60 minutes

$2.5M

23K claims · 8.4%

Your Cost: $111.11/claim|Median: $85.66
1.3× median
H0031Top 5%

Mental health assessment by non-physician

$1.4M

3,133 claims · 4.6%

Your Cost: $441.51/claim|Median: $96.18
4.6× median
90791Top 5%

Psychiatric diagnostic evaluation

$1.3M

4,930 claims · 4.3%

Your Cost: $266.45/claim|Median: $99.21
2.7× median
90834Top 25%

Psychotherapy, 45 minutes

$1.2M

15K claims · 4.1%

Your Cost: $84.48/claim|Median: $63.65
1.3× median
T1016Top 25%

Case management, each 15 min

$1.2M

10K claims · 3.9%

Your Cost: $113.34/claim|Median: $49.62
2.3× median
T1040Normal range

Medicaid certified CCBHC services

$1.2M

88K claims · 3.9%

Your Cost: $13.31/claim|Median: $130.29
0.1× median
99213Top 1%

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

$1.2M

6,396 claims · 3.8%

Your Cost: $180.73/claim|Median: $37.81
4.8× median
99214Top 1%

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

$961K

4,251 claims · 3.2%

Your Cost: $226.05/claim|Median: $53.41
4.2× median
90832Top 25%

Psychotherapy, 30 minutes

$943K

13K claims · 3.1%

Your Cost: $70.92/claim|Median: $41.28
1.7× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$660K

3,021 claims · 2.2%

Your Cost: $218.36/claim|Median: $108.91
2.0× median
90847Top 25%

Family psychotherapy with patient, 50 min

$636K

5,306 claims · 2.1%

Your Cost: $119.90/claim|Median: $77.33
1.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$624K

4,333 claims · 2.1%

Your Cost: $144.12/claim|Median: $96.24
1.5× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$620K

1,439 claims · 2.0%

Your Cost: $430.87/claim|Median: $106.70
4.0× median
H0032Normal range

Mental health service plan development

$477K

4,227 claims · 1.6%

Your Cost: $112.83/claim|Median: $80.64
1.4× median
90846Top 25%

Family psychotherapy without patient, 50 min

$430K

3,700 claims · 1.4%

Your Cost: $116.09/claim|Median: $76.61
1.5× median
H0050Top 5%

$355K

2,204 claims · 1.2%

Your Cost: $160.87/claim|Median: $46.71
3.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$287K

8,073 claims · 0.9%

Your Cost: $35.56/claim|Median: $55.04
0.6× median
H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$286K

1,800 claims · 0.9%

Your Cost: $159.10/claim|Median: $76.05
2.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$236K

537 claims · 0.8%

Your Cost: $440.32/claim|Median: $215.80
2.0× median
T1002Normal range

RN services, per 15 minutes

$162K

2,985 claims · 0.5%

Your Cost: $54.31/claim|Median: $37.42
1.5× median
99212Top 10%

Office/outpatient visit, low complexity

$155K

2,531 claims · 0.5%

Your Cost: $61.33/claim|Median: $25.06
2.4× median
90853Normal range

Group psychotherapy

$128K

4,704 claims · 0.4%

Your Cost: $27.26/claim|Median: $25.02
1.1× median
S5111Top 25%

Home care training, family member, per session

$96K

546 claims · 0.3%

Your Cost: $175.16/claim|Median: $87.13
2.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$75K

2,433 claims · 0.2%

Your Cost: $30.83/claim|Median: $9.56
3.2× median
H0001Normal range

Alcohol and/or drug assessment

$74K

1,731 claims · 0.2%

Your Cost: $42.97/claim|Median: $94.22
0.5× median
H2023Normal range

Supported employment, per 15 min

$43K

2,214 claims · 0.1%

Your Cost: $19.60/claim|Median: $103.94
0.2× median
T2004Normal range

Non-emergency transportation, commercial carrier, encounter trip

$35K

3,536 claims · 0.1%

Your Cost: $10.01/claim|Median: $8.80
1.1× median
99347Top 5%

$15K

202 claims · 0.1%

Your Cost: $76.53/claim|Median: $11.74
6.5× median
H0022Top 25%

$14K

240 claims · 0.0%

Your Cost: $56.33/claim|Median: $32.48
1.7× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$7K

46 claims · 0.0%

Your Cost: $159.75/claim|Median: $114.71
1.4× median
H2027Top 25%

Psychoeducational service, per 15 minutes

$6K

20 claims · 0.0%

Your Cost: $277.38/claim|Median: $82.72
3.4× median
H2021Normal range

Community-based wrap-around services, per 15 min

$5K

27 claims · 0.0%

Your Cost: $181.04/claim|Median: $169.11
1.1× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$0

2,360 claims · 0.0%

Your Cost: $0.00/claim|Median: $129.75