Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY

Clinic/Center, Mental Health (Including Community Mental Health Center)·OWOSSO, MI·NPI: 1497749279Share

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 $49.0M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$49.0M

$48,976,368

Total Claims

244K

Beneficiaries

98K

2.5 claims/patient

Avg Cost/Claim

$201

Monthly Spending Trend

Yearly Spending

2018
$8.1M
-7%
2019
$7.5M
-46%
2020
$4.1M
+38%
2021
$5.7M
+44%
2022
$8.1M
-6%
2023
$7.6M
+2%
2024
$7.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 43 distinct procedure codes. The top code (H2014 (Skills training & development, per 15 min)) accounts for 31% of total spending.

H2014Top 25%

Skills training & development, per 15 min

$15.4M

92K claims · 31.3%

Your Cost: $167.33/claim|Median: $83.88
2.0× median
T1017Top 10%

Targeted case management, per 15 min

$5.9M

22K claims · 12.0%

Your Cost: $266.09/claim|Median: $69.56
3.8× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$5.1M

13K claims · 10.5%

Your Cost: $408.00/claim|Median: $76.05
5.4× median
T1016Top 25%

Case management, each 15 min

$3.6M

20K claims · 7.4%

Your Cost: $182.04/claim|Median: $49.62
3.7× median
90834Top 5%

Psychotherapy, 45 minutes

$2.8M

12K claims · 5.8%

Your Cost: $244.54/claim|Median: $63.65
3.8× median
90837Top 1%

Psychotherapy, 60 minutes

$1.8M

5,827 claims · 3.7%

Your Cost: $311.28/claim|Median: $85.66
3.6× median
H0002Top 1%

Behavioral health screening

$1.6M

5,263 claims · 3.2%

Your Cost: $302.09/claim|Median: $38.77
7.8× median
99214Top 1%

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

$1.5M

5,492 claims · 3.1%

Your Cost: $279.84/claim|Median: $53.41
5.2× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$1.4M

3,228 claims · 2.8%

Your Cost: $426.08/claim|Median: $106.70
4.0× median
99213Top 5%

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

$1.1M

7,564 claims · 2.3%

Your Cost: $149.89/claim|Median: $37.81
4.0× median
90791Top 1%

Psychiatric diagnostic evaluation

$924K

2,281 claims · 1.9%

Your Cost: $405.10/claim|Median: $99.21
4.1× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$728K

3,515 claims · 1.5%

Your Cost: $207.01/claim|Median: $167.38
1.2× median
H0031Top 10%

Mental health assessment by non-physician

$722K

2,388 claims · 1.5%

Your Cost: $302.53/claim|Median: $96.18
3.1× median
0365TTop 10%

Adaptive behavior treatment, each additional thirty minutes

$674K

3,431 claims · 1.4%

Your Cost: $196.59/claim|Median: $106.05
1.9× median
H0032Top 25%

Mental health service plan development

$595K

3,082 claims · 1.2%

Your Cost: $193.04/claim|Median: $80.64
2.4× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$531K

3,698 claims · 1.1%

Your Cost: $143.61/claim|Median: $9.56
15.0× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$529K

2,202 claims · 1.1%

Your Cost: $240.19/claim|Median: $55.04
4.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$475K

4,713 claims · 1.0%

Your Cost: $100.73/claim|Median: $96.24
1.0× median
90847Top 10%

Family psychotherapy with patient, 50 min

$392K

2,567 claims · 0.8%

Your Cost: $152.66/claim|Median: $77.33
2.0× median
H0039Normal range

Assertive community treatment, per diem

$363K

1,985 claims · 0.7%

Your Cost: $183.03/claim|Median: $132.62
1.4× median
90832Top 5%

Psychotherapy, 30 minutes

$358K

2,282 claims · 0.7%

Your Cost: $156.91/claim|Median: $41.28
3.8× median
T1005Normal range

Respite care services, per 15 minutes

$321K

3,584 claims · 0.7%

Your Cost: $89.45/claim|Median: $71.40
1.3× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$285K

677 claims · 0.6%

Your Cost: $421.32/claim|Median: $108.91
3.9× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$236K

920 claims · 0.5%

Your Cost: $256.58/claim|Median: $84.12
3.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$179K

2,168 claims · 0.4%

Your Cost: $82.60/claim|Median: $24.49
3.4× median
97535Top 5%

Self-care/home management training, per 15 minutes

$165K

1,240 claims · 0.3%

Your Cost: $132.95/claim|Median: $18.18
7.3× median
0364TTop 10%

$159K

3,252 claims · 0.3%

Your Cost: $49.00/claim|Median: $21.31
2.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$151K

892 claims · 0.3%

Your Cost: $169.63/claim|Median: $215.80
0.8× median
H2000Top 25%

Comprehensive multidisciplinary evaluation

$128K

627 claims · 0.3%

Your Cost: $203.69/claim|Median: $114.71
1.8× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$126K

1,879 claims · 0.3%

Your Cost: $66.94/claim|Median: $20.04
3.3× median
H2023Normal range

Supported employment, per 15 min

$117K

1,487 claims · 0.2%

Your Cost: $78.43/claim|Median: $103.94
0.8× median
97533Normal range

$111K

1,609 claims · 0.2%

Your Cost: $69.16/claim|Median: $48.71
1.4× median
S0280Normal range

Medical home program, comprehensive care management

$107K

1,583 claims · 0.2%

Your Cost: $67.70/claim|Median: $48.38
1.4× median
Q3014Top 10%

Telehealth originating site facility fee

$95K

3,783 claims · 0.2%

Your Cost: $25.20/claim|Median: $15.37
1.6× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$72K

671 claims · 0.1%

Your Cost: $106.73/claim|Median: $146.45
0.7× median
0368TNormal range

$39K

798 claims · 0.1%

Your Cost: $49.00/claim|Median: $44.63
1.1× median
0369TNormal range

$36K

556 claims · 0.1%

Your Cost: $65.22/claim|Median: $102.36
0.6× median
97530Normal range

Therapeutic activities, each 15 min

$25K

477 claims · 0.1%

Your Cost: $52.65/claim|Median: $33.11
1.6× median
99215Top 1%

Office/outpatient visit, high complexity

$19K

41 claims · 0.0%

Your Cost: $462.44/claim|Median: $74.09
6.2× median
99212Top 25%

Office/outpatient visit, low complexity

$12K

251 claims · 0.0%

Your Cost: $49.72/claim|Median: $25.06
2.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$6K

156 claims · 0.0%

Your Cost: $36.89/claim|Median: $12.93
2.9× median
90846Top 5%

Family psychotherapy without patient, 50 min

$4K

18 claims · 0.0%

Your Cost: $195.00/claim|Median: $76.61
2.5× median
90853Top 5%

Group psychotherapy

$3K

24 claims · 0.0%

Your Cost: $119.17/claim|Median: $25.02
4.8× median