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National Council on Alcoholism Drug Dependence

Public Health or Welfare·Detroit, MI·NPI: 1477671170SharePrint ReportML Risk: 88%

Compared to Public Health or Welfare Peers

Total spending distribution among 17 providers in this specialty

P25MedianP75P90

This provider's total spending of $549K is at the below 25th percentile among 17 Public Health or Welfare providers.

Total Paid

$549K

$549,346

Total Claims

7,904

Beneficiaries

2,373

3.3 claims/patient

Avg Cost/Claim

$70

🔍 Analysis

Provider Overview

National Council on Alcoholism Drug Dependence is a Public Health or Welfare provider based in Detroit, MI. From 2018-01 through 2019-01, this provider received $549K in Medicaid payments across 8K claims serving 2K beneficiaries, billing 7 distinct procedure codes.

Key Findings

  • 📊Billing stopped in 2019-01, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Yearly Spending

2018
$542K
-99%
2019
$8K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 70% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$386K

5,159 claims · 70.2%

Your Cost: $74.76/claim|Median: $85.66
0.9× median
H0015Normal range

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

$65K

809 claims · 11.8%

Your Cost: $79.99/claim|Median: $129.75
0.6× median
T1012Top 25%

Alcohol/drug services, skills development

$26K

259 claims · 4.7%

Your Cost: $99.48/claim|Median: $40.78
2.4× median
90853Normal range

Group psychotherapy

$24K

888 claims · 4.3%

Your Cost: $26.70/claim|Median: $25.02
1.1× median
H0001Normal range

Alcohol and/or drug assessment

$20K

203 claims · 3.7%

Your Cost: $99.04/claim|Median: $94.22
1.1× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$17K

175 claims · 3.2%

Your Cost: $99.27/claim|Median: $53.97
1.8× median
H0003Normal range

$12K

411 claims · 2.2%

Your Cost: $29.22/claim|Median: $13.38
2.2× median