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HEGIRA HEALTH, INC

Clinic/Center, Mental Health (Including Community Mental Health Center)·LIVONIA, MI·NPI: 1477694925Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.4M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-122024-12(73 months)

Total Paid

$24.4M

$24,428,529

Total Claims

60K

Beneficiaries

49K

1.2 claims/patient

Avg Cost/Claim

$410

Monthly Spending Trend

Yearly Spending

2018
$5K
+5965%
2019
$332K
+15%
2020
$383K
+1656%
2021
$6.7M
-6%
2022
$6.3M
+8%
2023
$6.8M
-43%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T1023 (Screening to determine appropriateness of consideration for program)) accounts for 66% of total spending.

T1023Top 5%

Screening to determine appropriateness of consideration for program

$16.1M

39K claims · 65.7%

Your Cost: $407.60/claim|Median: $106.70
3.8× median
H2011Normal range

Crisis intervention service, per 15 minutes

$4.5M

11K claims · 18.4%

Your Cost: $399.16/claim|Median: $215.80
1.8× median
90791Top 1%

Psychiatric diagnostic evaluation

$2.9M

4,900 claims · 12.0%

Your Cost: $598.56/claim|Median: $99.21
6.0× median
S9484Normal range

Crisis intervention mental health services, per hour

$669K

1,423 claims · 2.7%

Your Cost: $470.20/claim|Median: $249.51
1.9× median
T2003Top 10%

Non-emergency transport; encounter/trip

$211K

1,831 claims · 0.9%

Your Cost: $115.15/claim|Median: $21.70
5.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$68K

639 claims · 0.3%

Your Cost: $105.86/claim|Median: $55.04
1.9× median
T1040Normal range

Medicaid certified CCBHC services

$1

83 claims · 0.0%

Your Cost: $0.01/claim|Median: $130.29
0.0× median