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PATHWAYS

Clinic/Center, Mental Health (Including Community Mental Health Center)·MARQUETTE, MI·NPI: 1487683546Share

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 $89.1M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$89.1M

$89,122,114

Total Claims

380K

Beneficiaries

174K

2.2 claims/patient

Avg Cost/Claim

$235

Monthly Spending Trend

Yearly Spending

2018
$10.1M
-9%
2019
$9.1M
-28%
2020
$6.5M
+97%
2021
$12.8M
+54%
2022
$19.7M
-17%
2023
$16.4M
-11%
2024
$14.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 42 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 19% of total spending.

H2015Top 25%

Comprehensive community support services, per 15 min

$17.3M

85K claims · 19.4%

Your Cost: $203.07/claim|Median: $96.24
2.1× median
T1017Top 10%

Targeted case management, per 15 min

$13.1M

42K claims · 14.7%

Your Cost: $310.59/claim|Median: $69.56
4.5× median
H0039Normal range

Assertive community treatment, per diem

$9.5M

57K claims · 10.7%

Your Cost: $166.13/claim|Median: $132.62
1.3× median
90837Top 5%

Psychotherapy, 60 minutes

$6.9M

27K claims · 7.7%

Your Cost: $252.57/claim|Median: $85.66
2.9× median
T1016Top 10%

Case management, each 15 min

$5.9M

28K claims · 6.6%

Your Cost: $208.91/claim|Median: $49.62
4.2× median
H2030Top 1%

Mental health clubhouse services, per 15 minutes

$3.4M

11K claims · 3.8%

Your Cost: $309.46/claim|Median: $73.58
4.2× median
97153Top 5%

Adaptive behavior treatment by protocol, per 15 min

$3.0M

6,436 claims · 3.4%

Your Cost: $472.82/claim|Median: $167.38
2.8× median
90834Top 5%

Psychotherapy, 45 minutes

$2.7M

14K claims · 3.0%

Your Cost: $194.32/claim|Median: $63.65
3.1× median
H2000Top 1%

Comprehensive multidisciplinary evaluation

$2.5M

820 claims · 2.8%

Your Cost: $3,081.88/claim|Median: $114.71
26.9× median
99213Top 1%

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

$2.5M

11K claims · 2.8%

Your Cost: $219.25/claim|Median: $37.81
5.8× median
99214Top 1%

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

$2.3M

6,939 claims · 2.6%

Your Cost: $327.55/claim|Median: $53.41
6.1× median
H0032Top 25%

Mental health service plan development

$2.3M

16K claims · 2.5%

Your Cost: $145.15/claim|Median: $80.64
1.8× median
H2011Normal range

Crisis intervention service, per 15 minutes

$2.2M

5,590 claims · 2.5%

Your Cost: $390.98/claim|Median: $215.80
1.8× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$2.2M

2,753 claims · 2.4%

Your Cost: $780.99/claim|Median: $106.70
7.3× median
H0036Top 10%

Community psychiatric supportive treatment, per 15 min

$2.1M

8,748 claims · 2.3%

Your Cost: $235.62/claim|Median: $76.05
3.1× median
90791Top 1%

Psychiatric diagnostic evaluation

$1.7M

4,945 claims · 1.9%

Your Cost: $336.31/claim|Median: $99.21
3.4× median
H0023Top 25%

Behavioral health outreach service, per 15 minutes

$1.5M

8,207 claims · 1.7%

Your Cost: $186.10/claim|Median: $53.97
3.4× median
H0031Top 5%

Mental health assessment by non-physician

$1.3M

2,244 claims · 1.5%

Your Cost: $596.22/claim|Median: $96.18
6.2× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$1.1M

1,056 claims · 1.2%

Your Cost: $1,046.44/claim|Median: $108.91
9.6× median
90832Top 10%

Psychotherapy, 30 minutes

$896K

7,662 claims · 1.0%

Your Cost: $116.93/claim|Median: $41.28
2.8× median
H0002Top 1%

Behavioral health screening

$683K

2,140 claims · 0.8%

Your Cost: $319.22/claim|Median: $38.77
8.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$681K

6,074 claims · 0.8%

Your Cost: $112.05/claim|Median: $9.56
11.7× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$427K

2,790 claims · 0.5%

Your Cost: $153.06/claim|Median: $55.04
2.8× median
90847Top 10%

Family psychotherapy with patient, 50 min

$417K

2,017 claims · 0.5%

Your Cost: $206.54/claim|Median: $77.33
2.7× median
S5111Top 25%

Home care training, family member, per session

$337K

1,955 claims · 0.4%

Your Cost: $172.60/claim|Median: $87.13
2.0× median
0365TTop 25%

Adaptive behavior treatment, each additional thirty minutes

$325K

2,091 claims · 0.4%

Your Cost: $155.41/claim|Median: $106.05
1.5× median
90853Top 1%

Group psychotherapy

$319K

1,361 claims · 0.4%

Your Cost: $234.18/claim|Median: $25.02
9.4× median
97151Top 1%

Behavior identification assessment

$257K

217 claims · 0.3%

Your Cost: $1,183.25/claim|Median: $161.10
7.3× median
90846Top 5%

Family psychotherapy without patient, 50 min

$246K

1,110 claims · 0.3%

Your Cost: $221.91/claim|Median: $76.61
2.9× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$193K

800 claims · 0.2%

Your Cost: $240.95/claim|Median: $146.45
1.6× median
S0280Top 25%

Medical home program, comprehensive care management

$175K

1,012 claims · 0.2%

Your Cost: $172.86/claim|Median: $48.38
3.6× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$144K

833 claims · 0.2%

Your Cost: $172.40/claim|Median: $84.12
2.0× median
H2022Normal range

Community-based wrap-around services, per diem

$140K

143 claims · 0.2%

Your Cost: $977.07/claim|Median: $336.31
2.9× median
0364TTop 10%

$114K

2,108 claims · 0.1%

Your Cost: $54.05/claim|Median: $21.31
2.5× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$105K

3,808 claims · 0.1%

Your Cost: $27.51/claim|Median: $28.63
1.0× median
H2021Normal range

Community-based wrap-around services, per 15 min

$62K

686 claims · 0.1%

Your Cost: $89.99/claim|Median: $169.11
0.5× median
99212Top 5%

Office/outpatient visit, low complexity

$52K

307 claims · 0.1%

Your Cost: $169.80/claim|Median: $25.06
6.8× median
Q3014Normal range

Telehealth originating site facility fee

$29K

2,031 claims · 0.0%

Your Cost: $14.50/claim|Median: $15.37
0.9× median
H2014Normal range

Skills training & development, per 15 min

$19K

414 claims · 0.0%

Your Cost: $46.29/claim|Median: $83.88
0.6× median
0369TNormal range

$18K

150 claims · 0.0%

Your Cost: $121.93/claim|Median: $102.36
1.2× median
97156Top 25%

$12K

95 claims · 0.0%

Your Cost: $121.18/claim|Median: $88.65
1.4× median
0368TNormal range

$11K

187 claims · 0.0%

Your Cost: $56.18/claim|Median: $44.63
1.3× median

Other Top Providers in Michigan

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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

Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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