Team Mental Health Services Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 16 procedure codes: 90837 at 1.9× median, 99213 at 2.4× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $59.68 per claim for S9445 — 4.7× the national median of $12.72.
Bills $277.51 per claim for T1016 (Case management, each 15 min) — 5.6× the national median of $49.62.
Bills $117.51 per claim for 96110 (Developmental screening, per standardized instrument) — 12.9× the national median of $9.10.
Billing in the top 1% nationally for 1 procedure code: 96110.
This is a statistical summary, not an accusation. See our methodology.
Total Paid
$208.4M
$208,392,820
Total Claims
1.7M
Beneficiaries
1.2M
1.5 claims/patient
Avg Cost/Claim
$124
#424 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Team Mental Health Services Inc. is a Radiology, Diagnostic Radiology provider based in Detroit, MI. From the 2018–2024 period, this provider received $208.4M in Medicaid payments across 1.7M claims.
Why This Matters
This provider received $208.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 26,049 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 38% of total spending.
$78.9M
415K claims
$190.01
$69.56
Targeted case management, per 15 min
$78.9M
415K claims · 37.9%
Psychotherapy, 60 minutes
$21.3M
129K claims · 10.2%
$12.7M
142K claims
$89.12
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$12.7M
142K claims · 6.1%
$10.3M
253K claims
$40.85
$55.04
Self-help/peer services, per 15 minutes
$10.3M
253K claims · 4.9%
$9.9M
63K claims
$156.27
$96.18
Mental health assessment by non-physician
$9.9M
63K claims · 4.7%
$9.6M
64K claims
$150.34
$80.64
Mental health service plan development
$9.6M
64K claims · 4.6%
$7.8M
40K claims
$195.32
$108.91
Psychiatric diagnostic evaluation with medical services
$7.8M
40K claims · 3.8%
$7.6M
31K claims
$244.07
$215.80
Crisis intervention service, per 15 minutes
$7.6M
31K claims · 3.7%
Psychotherapy, 30 minutes
$7.4M
120K claims · 3.5%
$6.9M
63K claims
$110.07
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$6.9M
63K claims · 3.3%
Psychotherapy, 45 minutes
$6.7M
56K claims · 3.2%
Supported employment, per 15 min
$5.7M
19K claims · 2.7%
$5.4M
22K claims
$247.30
$132.62
Assertive community treatment, per diem
$5.4M
22K claims · 2.6%
$3.4M
57K claims · 1.6%
$2.9M
26K claims
$110.30
$49.05
Nursing assessment/evaluation, per visit
$2.9M
26K claims · 1.4%
Psychiatric diagnostic evaluation
$2.6M
14K claims · 1.3%
$2.4M
6K claims
$400.68
$249.51
Crisis intervention mental health services, per hour
$2.4M
6K claims · 1.1%
Group psychotherapy
$1.3M
35K claims · 0.6%
$1.1M
32K claims
$34.55
$96.24
Comprehensive community support services, per 15 min
$1.1M
32K claims · 0.5%
$770K
29K claims
$26.73
$83.88
Skills training & development, per 15 min
$770K
29K claims · 0.4%
Case management, each 15 min
$742K
3K claims · 0.4%
$643K
9K claims
$69.84
$25.06
Office/outpatient visit, low complexity
$643K
9K claims · 0.3%
$596K
30K claims
$20.06
$9.56
Therapeutic injection, subcutaneous/intramuscular
$596K
30K claims · 0.3%
$492K
5K claims
$103.65
$83.98
Psychotherapy for crisis, first 60 min
$492K
5K claims · 0.2%
$175K
1K claims
$126.18
$74.09
Office/outpatient visit, high complexity
$175K
1K claims · 0.1%
$138K
1K claims
$118.46
$84.03
Office/outpatient visit, new patient, mod-high complexity
$138K
1K claims · 0.1%
$128K
1K claims
$117.51
$9.10
Developmental screening, per standardized instrument
$128K
1K claims · 0.1%
$112K
1K claims
$78.58
$57.85
Office/outpatient visit, new patient, low-mod complexity
$112K
1K claims · 0.1%
$105K
302 claims
$348.00
$106.70
Screening to determine appropriateness of consideration for program
$105K
302 claims · 0.1%
$103K
2K claims
$56.65
$40.11
Office/outpatient visit, new patient, low complexity
$103K
2K claims · 0.0%
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