Easterseals Morc Health Care, Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 26 procedure codes: 99214 at 2.1× median, 90837 at 1.7× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $327.30 per claim for S0280 (Medical home program, comprehensive care management) — 6.8× the national median of $48.38.
Bills $127.84 per claim for T1002 (RN services, per 15 minutes) — 3.4× the national median of $37.42.
Bills $76.51 per claim for 90853 (Group psychotherapy) — 3.1× the national median of $25.02.
Billing in the top 1% nationally for 1 procedure code: T1023.
This is a statistical summary, not an accusation. See our methodology.
Compared to Psychiatry & Neurology, Psychiatry Peers
Total spending distribution among 15 providers in this specialty
This provider's total spending of $188.3M is at the 99th percentile among 15 Psychiatry & Neurology, Psychiatry providers.
Above 99th percentile for this specialty — higher spending than 14 of 15 peers
Total Paid
$188.3M
$188,329,379
Total Claims
1.7M
Beneficiaries
948K
1.8 claims/patient
Avg Cost/Claim
$109
#495 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Easterseals Morc Health Care, Inc. is a Psychiatry & Neurology, Psychiatry provider based in Auburn Hills, MI. From the 2018–2024 period, this provider received $188.3M in Medicaid payments across 1.7M claims.
Why This Matters
This provider received $188.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 23,541 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 24% of total spending.
$44.3M
305K claims
$145.40
$69.56
Targeted case management, per 15 min
$44.3M
305K claims · 23.5%
$34.7M
156K claims
$222.77
$76.05
Community psychiatric supportive treatment, per 15 min
$34.7M
156K claims · 18.4%
$14.9M
113K claims
$131.78
$132.62
Assertive community treatment, per diem
$14.9M
113K claims · 7.9%
$10.6M
93K claims
$113.68
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$10.6M
93K claims · 5.6%
$9.1M
64K claims
$143.00
$80.64
Mental health service plan development
$9.1M
64K claims · 4.8%
Psychotherapy, 45 minutes
$6.4M
62K claims · 3.4%
Psychotherapy, 60 minutes
$5.8M
39K claims · 3.1%
$4.8M
19K claims
$249.21
$96.18
Mental health assessment by non-physician
$4.8M
19K claims · 2.6%
$4.1M
15K claims
$269.52
$108.91
Psychiatric diagnostic evaluation with medical services
$4.1M
15K claims · 2.2%
$4.1M
37K claims
$112.05
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$4.1M
37K claims · 2.2%
$4.1M
12K claims
$327.30
$48.38
Medical home program, comprehensive care management
$4.1M
12K claims · 2.2%
$3.9M
424K claims
$9.31
$130.29
Medicaid certified CCBHC services
$3.9M
424K claims · 2.1%
RN services, per 15 minutes
$3.9M
30K claims · 2.1%
Group psychotherapy
$3.4M
44K claims · 1.8%
Psychiatric diagnostic evaluation
$3.1M
23K claims · 1.6%
Psychotherapy, 30 minutes
$3.0M
40K claims · 1.6%
$2.5M
19K claims
$130.37
$77.33
Family psychotherapy with patient, 50 min
$2.5M
19K claims · 1.3%
$2.3M
19K claims
$121.23
$55.04
Self-help/peer services, per 15 minutes
$2.3M
19K claims · 1.2%
$2.2M
26K claims
$84.30
$167.38
Adaptive behavior treatment by protocol, per 15 min
$2.2M
26K claims · 1.1%
$2.0M
7K claims
$295.64
$321.53
Comprehensive community support services, per 15 min
$2.0M
7K claims · 1.1%
$1.9M
28K claims
$65.80
$9.56
Therapeutic injection, subcutaneous/intramuscular
$1.9M
28K claims · 1.0%
Supported employment, per 15 min
$1.8M
10K claims · 1.0%
$1.5M
4K claims
$383.05
$336.31
Community-based wrap-around services, per diem
$1.5M
4K claims · 0.8%
$1.4M
14K claims
$102.80
$71.40
Respite care services, per 15 minutes
$1.4M
14K claims · 0.7%
$1.4M
7K claims
$202.24
$296.27
Personal care services, per diem
$1.4M
7K claims · 0.7%
$1.1M
945 claims
$1,204.54
$106.70
Screening to determine appropriateness of consideration for program
$1.1M
945 claims · 0.6%
$1.1M
3K claims
$357.82
$215.80
Crisis intervention service, per 15 minutes
$1.1M
3K claims · 0.6%
$925K
3K claims
$322.33
$87.13
Home care training, family member, per session
$925K
3K claims · 0.5%
$739K
5K claims · 0.4%
$727K
6K claims
$113.21
$25.06
Office/outpatient visit, low complexity
$727K
6K claims · 0.4%
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