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

COUNTY OF OTTAWA

Clinic/Center, Mental Health (Including Community Mental Health Center)·HOLLAND, MI·NPI: 1619932381Share

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 $50.7M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$50.7M

$50,699,485

Total Claims

193K

Beneficiaries

134K

1.4 claims/patient

Avg Cost/Claim

$263

Monthly Spending Trend

Yearly Spending

2018
$7.2M
-5%
2019
$6.8M
-11%
2020
$6.1M
+19%
2021
$7.2M
+9%
2022
$7.9M
+7%
2023
$8.5M
-18%
2024
$7.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 31 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 15% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$7.7M

31K claims · 15.2%

Your Cost: $248.11/claim|Median: $69.56
3.6× median
H0039Top 25%

Assertive community treatment, per diem

$5.7M

15K claims · 11.2%

Your Cost: $390.03/claim|Median: $132.62
2.9× median
T1016Top 10%

Case management, each 15 min

$4.3M

16K claims · 8.5%

Your Cost: $266.85/claim|Median: $49.62
5.4× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$4.0M

10K claims · 7.8%

Your Cost: $392.59/claim|Median: $76.05
5.2× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$4.0M

5,262 claims · 7.8%

Your Cost: $755.79/claim|Median: $106.70
7.1× median
H0031Top 1%

Mental health assessment by non-physician

$3.5M

4,359 claims · 6.9%

Your Cost: $806.32/claim|Median: $96.18
8.4× median
90837Top 1%

Psychotherapy, 60 minutes

$3.3M

9,934 claims · 6.5%

Your Cost: $331.91/claim|Median: $85.66
3.9× median
90791Top 1%

Psychiatric diagnostic evaluation

$2.9M

4,114 claims · 5.8%

Your Cost: $710.49/claim|Median: $99.21
7.2× median
H0032Top 5%

Mental health service plan development

$2.8M

9,615 claims · 5.4%

Your Cost: $287.13/claim|Median: $80.64
3.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.9M

4,572 claims · 3.8%

Your Cost: $419.09/claim|Median: $215.80
1.9× median
99214Top 1%

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

$1.9M

7,518 claims · 3.8%

Your Cost: $253.69/claim|Median: $53.41
4.7× median
90834Top 5%

Psychotherapy, 45 minutes

$1.3M

6,899 claims · 2.6%

Your Cost: $191.04/claim|Median: $63.65
3.0× median
99213Top 1%

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

$1.3M

7,994 claims · 2.6%

Your Cost: $162.83/claim|Median: $37.81
4.3× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$991K

1,719 claims · 2.0%

Your Cost: $576.49/claim|Median: $108.91
5.3× median
99215Top 1%

Office/outpatient visit, high complexity

$637K

1,578 claims · 1.3%

Your Cost: $403.61/claim|Median: $74.09
5.4× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$604K

11K claims · 1.2%

Your Cost: $52.89/claim|Median: $9.56
5.5× median
S5111Top 25%

Home care training, family member, per session

$562K

3,443 claims · 1.1%

Your Cost: $163.30/claim|Median: $87.13
1.9× median
T1001Top 1%

Nursing assessment/evaluation, per visit

$515K

876 claims · 1.0%

Your Cost: $587.68/claim|Median: $49.05
12.0× median
H2000Top 5%

Comprehensive multidisciplinary evaluation

$506K

960 claims · 1.0%

Your Cost: $527.00/claim|Median: $114.71
4.6× median
90832Top 5%

Psychotherapy, 30 minutes

$469K

3,720 claims · 0.9%

Your Cost: $126.11/claim|Median: $41.28
3.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$449K

4,432 claims · 0.9%

Your Cost: $101.23/claim|Median: $96.24
1.1× median
99212Top 5%

Office/outpatient visit, low complexity

$330K

3,364 claims · 0.7%

Your Cost: $97.99/claim|Median: $25.06
3.9× median
H0038Top 5%

Self-help/peer services, per 15 minutes

$257K

725 claims · 0.5%

Your Cost: $354.06/claim|Median: $55.04
6.4× median
H0002Top 25%

Behavioral health screening

$221K

1,727 claims · 0.4%

Your Cost: $128.14/claim|Median: $38.77
3.3× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$212K

2,366 claims · 0.4%

Your Cost: $89.57/claim|Median: $73.58
1.2× median
90847Top 5%

Family psychotherapy with patient, 50 min

$155K

489 claims · 0.3%

Your Cost: $316.52/claim|Median: $77.33
4.1× median
Q3014Top 5%

Telehealth originating site facility fee

$114K

2,289 claims · 0.2%

Your Cost: $49.80/claim|Median: $15.37
3.2× median
T1002Top 10%

RN services, per 15 minutes

$59K

192 claims · 0.1%

Your Cost: $306.79/claim|Median: $37.42
8.2× median
97167Top 1%

OT evaluation, high complexity

$13K

13 claims · 0.0%

Your Cost: $997.00/claim|Median: $70.96
14.1× median
97163Top 25%

PT evaluation, high complexity

$7K

79 claims · 0.0%

Your Cost: $82.89/claim|Median: $50.34
1.6× median
T1040Normal range

Medicaid certified CCBHC services

$210

21K claims · 0.0%

Your Cost: $0.01/claim|Median: $130.29
0.0× median