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NEWAYGO COUNTY MENTAL HEALTH BOARD

Community/Behavioral Health·WHITE CLOUD, MI·NPI: 1376512236Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $52.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$52.0M

$51,959,363

Total Claims

194K

Beneficiaries

124K

1.6 claims/patient

Avg Cost/Claim

$267

Monthly Spending Trend

Yearly Spending

2018
$6.2M
+4%
2019
$6.5M
-11%
2020
$5.7M
+23%
2021
$7.1M
+5%
2022
$7.4M
+14%
2023
$8.5M
+25%
2024
$10.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 35 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 26% of total spending.

T1017Top 10%

Targeted case management, per 15 min

$13.6M

47K claims · 26.2%

Your Cost: $287.95/claim|Median: $69.56
4.1× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$7.7M

21K claims · 14.8%

Your Cost: $373.75/claim|Median: $76.05
4.9× median
90837Top 5%

Psychotherapy, 60 minutes

$4.7M

19K claims · 9.1%

Your Cost: $245.77/claim|Median: $85.66
2.9× median
99214Top 1%

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

$4.4M

14K claims · 8.4%

Your Cost: $322.13/claim|Median: $53.41
6.0× median
90791Top 1%

Psychiatric diagnostic evaluation

$2.7M

3,981 claims · 5.3%

Your Cost: $687.91/claim|Median: $99.21
6.9× median
90834Top 5%

Psychotherapy, 45 minutes

$2.6M

15K claims · 5.1%

Your Cost: $173.46/claim|Median: $63.65
2.7× median
97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$2.2M

7,100 claims · 4.3%

Your Cost: $316.13/claim|Median: $167.38
1.9× median
H0038Top 5%

Self-help/peer services, per 15 minutes

$2.1M

4,346 claims · 4.0%

Your Cost: $478.34/claim|Median: $55.04
8.7× median
99213Top 1%

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

$1.8M

8,777 claims · 3.4%

Your Cost: $200.05/claim|Median: $37.81
5.3× median
H0031Top 10%

Mental health assessment by non-physician

$1.5M

5,195 claims · 2.9%

Your Cost: $292.46/claim|Median: $96.18
3.0× median
90832Top 5%

Psychotherapy, 30 minutes

$1.5M

11K claims · 2.9%

Your Cost: $138.92/claim|Median: $41.28
3.4× median
H0032Top 10%

Mental health service plan development

$918K

4,618 claims · 1.8%

Your Cost: $198.89/claim|Median: $80.64
2.5× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$706K

2,964 claims · 1.4%

Your Cost: $238.24/claim|Median: $84.12
2.8× median
97155Top 10%

Adaptive behavior treatment with protocol modification, per 15 minutes

$642K

2,384 claims · 1.2%

Your Cost: $269.34/claim|Median: $146.45
1.8× median
H2021Top 25%

Community-based wrap-around services, per 15 min

$584K

1,002 claims · 1.1%

Your Cost: $583.24/claim|Median: $169.11
3.4× median
S5111Top 10%

Home care training, family member, per session

$564K

2,609 claims · 1.1%

Your Cost: $216.17/claim|Median: $87.13
2.5× median
H0002Top 25%

Behavioral health screening

$559K

4,982 claims · 1.1%

Your Cost: $112.11/claim|Median: $38.77
2.9× median
90847Top 5%

Family psychotherapy with patient, 50 min

$458K

1,764 claims · 0.9%

Your Cost: $259.36/claim|Median: $77.33
3.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$451K

3,584 claims · 0.9%

Your Cost: $125.75/claim|Median: $215.80
0.6× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$400K

2,974 claims · 0.8%

Your Cost: $134.34/claim|Median: $106.05
1.3× median
T1023Top 25%

Screening to determine appropriateness of consideration for program

$379K

1,135 claims · 0.7%

Your Cost: $334.21/claim|Median: $106.70
3.1× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$290K

5,077 claims · 0.6%

Your Cost: $57.14/claim|Median: $9.56
6.0× median
T1016Top 25%

Case management, each 15 min

$246K

1,268 claims · 0.5%

Your Cost: $193.74/claim|Median: $49.62
3.9× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$235K

268 claims · 0.5%

Your Cost: $876.75/claim|Median: $108.91
8.1× median
99215Top 1%

Office/outpatient visit, high complexity

$212K

376 claims · 0.4%

Your Cost: $562.54/claim|Median: $74.09
7.6× median
H2023Top 10%

Supported employment, per 15 min

$197K

660 claims · 0.4%

Your Cost: $298.48/claim|Median: $103.94
2.9× median
90853Top 5%

Group psychotherapy

$62K

283 claims · 0.1%

Your Cost: $219.42/claim|Median: $25.02
8.8× median
90846Top 10%

Family psychotherapy without patient, 50 min

$53K

383 claims · 0.1%

Your Cost: $137.55/claim|Median: $76.61
1.8× median
H2000Top 25%

Comprehensive multidisciplinary evaluation

$40K

189 claims · 0.1%

Your Cost: $213.61/claim|Median: $114.71
1.9× median
0364TNormal range

$39K

1,621 claims · 0.1%

Your Cost: $24.16/claim|Median: $21.31
1.1× median
0369TNormal range

$11K

99 claims · 0.0%

Your Cost: $110.62/claim|Median: $102.36
1.1× median
0368TTop 10%

$9K

113 claims · 0.0%

Your Cost: $81.06/claim|Median: $44.63
1.8× median
96131Top 25%

Psychological testing evaluation, each additional hour

$3K

13 claims · 0.0%

Your Cost: $261.45/claim|Median: $133.38
2.0× median
T1002Top 25%

RN services, per 15 minutes

$2K

13 claims · 0.0%

Your Cost: $163.21/claim|Median: $37.42
4.4× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$2K

12 claims · 0.0%

Your Cost: $161.85/claim|Median: $79.21
2.0× median