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AUTISM CENTER OF NORTHERN MICHIGAN

Community/Behavioral Health·TRAVERSE CITY, MI·NPI: 1598007171Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.1M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$19.1M

$19,058,013

Total Claims

150K

Beneficiaries

19K

8.0 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2018
$5.5M
-46%
2019
$2.9M
-12%
2020
$2.6M
+2%
2021
$2.6M
-17%
2022
$2.2M
-14%
2023
$1.9M
-32%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 32 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 49% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$9.3M

59K claims · 48.7%

Your Cost: $156.36/claim|Median: $167.38
0.9× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$3.4M

24K claims · 18.0%

Your Cost: $144.99/claim|Median: $146.45
1.0× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$2.8M

20K claims · 14.9%

Your Cost: $143.67/claim|Median: $106.05
1.4× median
0369TNormal range

$869K

7,276 claims · 4.6%

Your Cost: $119.50/claim|Median: $102.36
1.2× median
97156Normal range

$666K

7,329 claims · 3.5%

Your Cost: $90.89/claim|Median: $88.65
1.0× median
0364TNormal range

$505K

19K claims · 2.7%

Your Cost: $27.24/claim|Median: $21.31
1.3× median
0368TNormal range

$429K

7,448 claims · 2.2%

Your Cost: $57.53/claim|Median: $44.63
1.3× median
0370TNormal range

$182K

1,607 claims · 1.0%

Your Cost: $113.46/claim|Median: $88.49
1.3× median
97151Top 25%

Behavior identification assessment

$161K

620 claims · 0.8%

Your Cost: $260.12/claim|Median: $161.10
1.6× median
0359TTop 25%

$146K

297 claims · 0.8%

Your Cost: $492.01/claim|Median: $444.44
1.1× median
T1017Top 25%

Targeted case management, per 15 min

$127K

572 claims · 0.7%

Your Cost: $221.80/claim|Median: $69.56
3.2× median
H0032Top 25%

Mental health service plan development

$77K

510 claims · 0.4%

Your Cost: $151.80/claim|Median: $80.64
1.9× median
H0039Top 25%

Assertive community treatment, per diem

$66K

296 claims · 0.3%

Your Cost: $223.75/claim|Median: $132.62
1.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$51K

797 claims · 0.3%

Your Cost: $63.40/claim|Median: $96.24
0.7× median
99214Top 1%

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

$30K

120 claims · 0.2%

Your Cost: $250.00/claim|Median: $53.41
4.7× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$28K

319 claims · 0.1%

Your Cost: $86.27/claim|Median: $73.58
1.2× median
T1016Top 10%

Case management, each 15 min

$22K

108 claims · 0.1%

Your Cost: $206.80/claim|Median: $49.62
4.2× median
0372TTop 1%

$21K

412 claims · 0.1%

Your Cost: $51.00/claim|Median: $22.32
2.3× median
90834Top 10%

Psychotherapy, 45 minutes

$17K

134 claims · 0.1%

Your Cost: $125.00/claim|Median: $63.65
2.0× median
H2014Normal range

Skills training & development, per 15 min

$16K

244 claims · 0.1%

Your Cost: $65.70/claim|Median: $83.88
0.8× median
H0031Top 5%

Mental health assessment by non-physician

$15K

37 claims · 0.1%

Your Cost: $398.24/claim|Median: $96.18
4.1× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$15K

42 claims · 0.1%

Your Cost: $349.21/claim|Median: $76.05
4.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$14K

50 claims · 0.1%

Your Cost: $283.10/claim|Median: $215.80
1.3× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$13K

56 claims · 0.1%

Your Cost: $235.00/claim|Median: $9.56
24.6× median
90847Top 10%

Family psychotherapy with patient, 50 min

$9K

58 claims · 0.0%

Your Cost: $160.00/claim|Median: $77.33
2.1× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$8K

19 claims · 0.0%

Your Cost: $425.00/claim|Median: $106.70
4.0× median
T1005Normal range

Respite care services, per 15 minutes

$8K

111 claims · 0.0%

Your Cost: $71.41/claim|Median: $71.40
1.0× median
99213Top 1%

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

$3K

13 claims · 0.0%

Your Cost: $230.00/claim|Median: $37.81
6.1× median
0367TNormal range

$3K

46 claims · 0.0%

Your Cost: $64.72/claim|Median: $50.31
1.3× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$2K

15 claims · 0.0%

Your Cost: $156.60/claim|Median: $114.71
1.4× median
S0281Normal range

$1K

14 claims · 0.0%

Your Cost: $80.00/claim|Median: $92.97
0.9× median
0366TNormal range

$506

46 claims · 0.0%

Your Cost: $11.00/claim|Median: $10.37
1.1× median

Other Top Providers in Michigan

View all →

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 Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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