The Mental Health Center of Greater Manchester
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $341.18 per claim for T1016 (Case management, each 15 min), which is 6.9× the national median of $49.62.
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:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $341.18 per claim for T1016 (Case management, each 15 min) — 6.9× the national median of $49.62.
Billing above the 90th percentile for 2 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Clinic/Center Mental Health (Including Community Mental Health Center) Peers
Total spending distribution among 28 providers in this specialty
This provider's total spending of $143.9M is at the 50th percentile among 28 Clinic/Center Mental Health (Including Community Mental Health Center) providers.
Total Paid
$143.9M
$143,867,599
Total Claims
1.1M
Beneficiaries
557K
1.9 claims/patient
Avg Cost/Claim
$132
#762 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
The Mental Health Center of Greater Manchester is a Clinic/Center Mental Health (Including Community Mental Health Center) provider based in Manchester, NH. From the 2018–2024 period, this provider received $143.9M in Medicaid payments across 1.1M claims.
Why This Matters
This provider received $143.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,983 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 (T1016 (Case management, each 15 min)) accounts for 48% of total spending.
Case management, each 15 min
$69.2M
203K claims · 48.1%
$16.7M
183K claims
$90.86
$84.12
Therapeutic behavioral services, per 15 min
$16.7M
183K claims · 11.6%
$11.7M
22K claims
$540.75
$501.33
Crisis intervention mental health services, per diem
$11.7M
22K claims · 8.1%
Psychotherapy, 45 minutes
$8.9M
159K claims · 6.2%
$7.4M
62K claims
$119.74
$96.24
Comprehensive community support services, per 15 min
$7.4M
62K claims · 5.2%
$4.2M
45K claims
$91.80
$77.33
Family psychotherapy with patient, 50 min
$4.2M
45K claims · 2.9%
$4.1M
30K claims
$134.00
$215.80
Crisis intervention service, per 15 minutes
$4.1M
30K claims · 2.8%
$3.8M
32K claims
$121.56
$103.94
Supported employment, per 15 min
$3.8M
32K claims · 2.7%
$2.7M
38K claims
$69.49
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$2.7M
38K claims · 1.9%
$2.0M
65K claims
$31.26
$56.90
Medication training and management, per 15 min
$2.0M
65K claims · 1.4%
$1.9M
14K claims
$132.80
$144.05
Day habilitation, waiver, per 15 minutes
$1.9M
14K claims · 1.3%
$1.9M
47K claims
$39.91
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$1.9M
47K claims · 1.3%
Psychotherapy, 30 minutes
$1.8M
48K claims · 1.3%
$1.6M
16K claims
$99.08
$76.61
Family psychotherapy without patient, 50 min
$1.6M
16K claims · 1.1%
$1.3M
11K claims
$119.09
$99.21
Psychiatric diagnostic evaluation
$1.3M
11K claims · 0.9%
$1.0M
20K claims
$52.59
$249.51
Crisis intervention mental health services, per hour
$1.0M
20K claims · 0.7%
$997K
41K claims
$24.13
$49.05
Nursing assessment/evaluation, per visit
$997K
41K claims · 0.7%
$446K
5K claims
$85.29
$53.00
Family training and counseling, per 15 minutes
$446K
5K claims · 0.3%
Psychotherapy, 60 minutes
$377K
4K claims · 0.3%
$295K
3K claims
$113.04
$74.09
Office/outpatient visit, high complexity
$295K
3K claims · 0.2%
$295K
2K claims
$189.00
$83.98
Psychotherapy for crisis, first 60 min
$295K
2K claims · 0.2%
$282K
2K claims
$124.64
$84.03
Office/outpatient visit, new patient, mod-high complexity
$282K
2K claims · 0.2%
Group psychotherapy
$275K
6K claims · 0.2%
$198K
4K claims
$46.51
$62.69
Comprehensive medication services, per 15 min
$198K
4K claims · 0.1%
$113K
1K claims
$78.57
$57.85
Office/outpatient visit, new patient, low-mod complexity
$113K
1K claims · 0.1%
$96K
2K claims
$57.33
$82.72
Psychoeducational service, per 15 minutes
$96K
2K claims · 0.1%
$89K
15K claims
$5.76
$9.56
Therapeutic injection, subcutaneous/intramuscular
$89K
15K claims · 0.1%
$86K
458 claims
$188.65
$111.09
Office/outpatient visit, new patient, high complexity
$86K
458 claims · 0.1%
$72K
3K claims
$22.10
$25.06
Office/outpatient visit, low complexity
$72K
3K claims · 0.1%
$4K
208 claims · 0.0%
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$286.0M
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$265.5M
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