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AUSABLE VALLEY COMMUNITY MENTAL HEALTH SERVICES BOARD

Community/Behavioral Health·TAWAS CITY, MI·NPI: 1417011701Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $116.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$116.4M

$116,449,818

Total Claims

590K

Beneficiaries

182K

3.2 claims/patient

Avg Cost/Claim

$197

Monthly Spending Trend

Yearly Spending

2018
$14.1M
-13%
2019
$12.2M
+9%
2020
$13.3M
+86%
2021
$24.7M
-41%
2022
$14.6M
+25%
2023
$18.2M
+7%
2024
$19.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 35 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 35% of total spending.

H2015Top 25%

Comprehensive community support services, per 15 min

$40.8M

211K claims · 35.0%

Your Cost: $193.07/claim|Median: $96.24
2.0× median
T1017Top 25%

Targeted case management, per 15 min

$15.1M

63K claims · 13.0%

Your Cost: $237.87/claim|Median: $69.56
3.4× median
H2016Normal range

Comprehensive community support services, per 15 min

$12.4M

50K claims · 10.6%

Your Cost: $245.80/claim|Median: $321.53
0.8× median
T1020Normal range

Personal care services, per diem

$7.9M

50K claims · 6.8%

Your Cost: $156.23/claim|Median: $296.27
0.5× median
H0043Normal range

Supported housing, per diem

$7.7M

54K claims · 6.6%

Your Cost: $143.53/claim|Median: $164.87
0.9× median
90837Top 5%

Psychotherapy, 60 minutes

$4.8M

17K claims · 4.1%

Your Cost: $286.90/claim|Median: $85.66
3.3× median
H0039Top 25%

Assertive community treatment, per diem

$4.1M

15K claims · 3.5%

Your Cost: $266.17/claim|Median: $132.62
2.0× median
99214Top 1%

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

$3.3M

16K claims · 2.9%

Your Cost: $214.57/claim|Median: $53.41
4.0× median
99213Top 1%

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

$2.7M

18K claims · 2.3%

Your Cost: $154.86/claim|Median: $37.81
4.1× median
90791Top 1%

Psychiatric diagnostic evaluation

$2.6M

5,365 claims · 2.2%

Your Cost: $478.44/claim|Median: $99.21
4.8× median
90834Top 5%

Psychotherapy, 45 minutes

$2.1M

11K claims · 1.8%

Your Cost: $191.63/claim|Median: $63.65
3.0× median
T1016Top 10%

Case management, each 15 min

$1.9M

8,363 claims · 1.7%

Your Cost: $233.14/claim|Median: $49.62
4.7× median
H0032Top 25%

Mental health service plan development

$1.9M

13K claims · 1.6%

Your Cost: $145.05/claim|Median: $80.64
1.8× median
H0031Top 10%

Mental health assessment by non-physician

$1.8M

6,542 claims · 1.6%

Your Cost: $279.45/claim|Median: $96.18
2.9× median
90832Top 10%

Psychotherapy, 30 minutes

$1.1M

9,488 claims · 0.9%

Your Cost: $115.02/claim|Median: $41.28
2.8× median
T1023Top 25%

Screening to determine appropriateness of consideration for program

$1.1M

4,197 claims · 0.9%

Your Cost: $250.88/claim|Median: $106.70
2.4× median
H0036Top 1%

Community psychiatric supportive treatment, per 15 min

$988K

1,426 claims · 0.8%

Your Cost: $692.98/claim|Median: $76.05
9.1× median
H2014Normal range

Skills training & development, per 15 min

$651K

15K claims · 0.6%

Your Cost: $44.68/claim|Median: $83.88
0.5× median
90847Top 10%

Family psychotherapy with patient, 50 min

$576K

2,904 claims · 0.5%

Your Cost: $198.47/claim|Median: $77.33
2.6× median
S0280Top 25%

Medical home program, comprehensive care management

$551K

2,303 claims · 0.5%

Your Cost: $239.11/claim|Median: $48.38
4.9× median
S5111Top 25%

Home care training, family member, per session

$507K

2,657 claims · 0.4%

Your Cost: $190.71/claim|Median: $87.13
2.2× median
H2021Normal range

Community-based wrap-around services, per 15 min

$428K

1,418 claims · 0.4%

Your Cost: $302.08/claim|Median: $169.11
1.8× median
H2023Normal range

Supported employment, per 15 min

$337K

2,665 claims · 0.3%

Your Cost: $126.32/claim|Median: $103.94
1.2× median
99211Top 10%

Office/outpatient visit, minimal complexity

$267K

3,861 claims · 0.2%

Your Cost: $69.20/claim|Median: $12.93
5.4× median
T1002Top 25%

RN services, per 15 minutes

$196K

2,530 claims · 0.2%

Your Cost: $77.36/claim|Median: $37.42
2.1× median
S5161Top 1%

Emergency response system, per month

$181K

99 claims · 0.2%

Your Cost: $1,827.70/claim|Median: $29.97
61.0× median
99215Top 5%

Office/outpatient visit, high complexity

$156K

588 claims · 0.1%

Your Cost: $265.18/claim|Median: $74.09
3.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$131K

860 claims · 0.1%

Your Cost: $152.47/claim|Median: $215.80
0.7× median
90853Top 10%

Group psychotherapy

$47K

693 claims · 0.0%

Your Cost: $68.02/claim|Median: $25.02
2.7× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$34K

240 claims · 0.0%

Your Cost: $140.48/claim|Median: $84.03
1.7× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$28K

161 claims · 0.0%

Your Cost: $173.15/claim|Median: $79.21
2.2× median
90846Top 5%

Family psychotherapy without patient, 50 min

$19K

104 claims · 0.0%

Your Cost: $186.25/claim|Median: $76.61
2.4× median
T1001Top 25%

Nursing assessment/evaluation, per visit

$19K

185 claims · 0.0%

Your Cost: $101.21/claim|Median: $49.05
2.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$13K

244 claims · 0.0%

Your Cost: $53.23/claim|Median: $55.04
1.0× median
96131Normal range

Psychological testing evaluation, each additional hour

$2K

13 claims · 0.0%

Your Cost: $153.00/claim|Median: $133.38
1.1× median