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HIAWATHA COMMUNITY BEHAVIORAL HEALTH AUTHORITY

Community/Behavioral Health·SAULT SAINTE MARIE, MI·NPI: 1629161567Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.6M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$38.6M

$38,590,030

Total Claims

210K

Beneficiaries

92K

2.3 claims/patient

Avg Cost/Claim

$184

Monthly Spending Trend

Yearly Spending

2018
$6.1M
-12%
2019
$5.4M
-30%
2020
$3.7M
+53%
2021
$5.7M
+7%
2022
$6.2M
-4%
2023
$5.9M
-7%
2024
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 33 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 18% of total spending.

T1017Top 10%

Targeted case management, per 15 min

$7.1M

26K claims · 18.3%

Your Cost: $266.61/claim|Median: $69.56
3.8× median
T1016Top 10%

Case management, each 15 min

$4.4M

17K claims · 11.5%

Your Cost: $258.83/claim|Median: $49.62
5.2× median
H0039Normal range

Assertive community treatment, per diem

$3.6M

18K claims · 9.4%

Your Cost: $201.39/claim|Median: $132.62
1.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$3.6M

42K claims · 9.3%

Your Cost: $86.44/claim|Median: $96.24
0.9× median
90837Top 5%

Psychotherapy, 60 minutes

$3.3M

13K claims · 8.5%

Your Cost: $255.02/claim|Median: $85.66
3.0× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$2.1M

9,308 claims · 5.6%

Your Cost: $230.43/claim|Median: $55.04
4.2× median
90834Top 5%

Psychotherapy, 45 minutes

$2.1M

11K claims · 5.3%

Your Cost: $193.55/claim|Median: $63.65
3.0× median
99214Top 1%

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

$2.0M

4,654 claims · 5.2%

Your Cost: $429.60/claim|Median: $53.41
8.0× median
H2016Normal range

Comprehensive community support services, per 15 min

$1.5M

15K claims · 4.0%

Your Cost: $104.00/claim|Median: $321.53
0.3× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$1.2M

2,367 claims · 3.2%

Your Cost: $514.29/claim|Median: $215.80
2.4× median
99213Top 1%

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

$1.2M

4,120 claims · 3.1%

Your Cost: $289.51/claim|Median: $37.81
7.7× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$1.1M

1,763 claims · 3.0%

Your Cost: $646.75/claim|Median: $106.70
6.1× median
H0032Top 25%

Mental health service plan development

$1.0M

7,777 claims · 2.6%

Your Cost: $130.45/claim|Median: $80.64
1.6× median
T1020Normal range

Personal care services, per diem

$766K

14K claims · 2.0%

Your Cost: $52.91/claim|Median: $296.27
0.2× median
H2030Top 5%

Mental health clubhouse services, per 15 minutes

$591K

2,846 claims · 1.5%

Your Cost: $207.72/claim|Median: $73.58
2.8× median
90832Top 10%

Psychotherapy, 30 minutes

$568K

4,692 claims · 1.5%

Your Cost: $121.01/claim|Median: $41.28
2.9× median
H0031Top 10%

Mental health assessment by non-physician

$520K

1,696 claims · 1.3%

Your Cost: $306.62/claim|Median: $96.18
3.2× median
90791Top 5%

Psychiatric diagnostic evaluation

$489K

2,023 claims · 1.3%

Your Cost: $241.70/claim|Median: $99.21
2.4× median
H0036Top 1%

Community psychiatric supportive treatment, per 15 min

$364K

630 claims · 0.9%

Your Cost: $578.32/claim|Median: $76.05
7.6× median
99212Top 1%

Office/outpatient visit, low complexity

$229K

954 claims · 0.6%

Your Cost: $240.31/claim|Median: $25.06
9.6× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$205K

143 claims · 0.5%

Your Cost: $1,435.88/claim|Median: $108.91
13.2× median
S0280Normal range

Medical home program, comprehensive care management

$193K

1,496 claims · 0.5%

Your Cost: $129.08/claim|Median: $48.38
2.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$125K

4,023 claims · 0.3%

Your Cost: $30.97/claim|Median: $9.56
3.2× median
H2000Top 25%

Comprehensive multidisciplinary evaluation

$99K

491 claims · 0.3%

Your Cost: $202.57/claim|Median: $114.71
1.8× median
99215Top 1%

Office/outpatient visit, high complexity

$46K

54 claims · 0.1%

Your Cost: $853.25/claim|Median: $74.09
11.5× median
H0002Top 25%

Behavioral health screening

$42K

522 claims · 0.1%

Your Cost: $79.71/claim|Median: $38.77
2.1× median
S5111Normal range

Home care training, family member, per session

$32K

345 claims · 0.1%

Your Cost: $91.72/claim|Median: $87.13
1.1× median
S9482Normal range

Family stabilization services, per 15 minutes

$10K

38 claims · 0.0%

Your Cost: $273.47/claim|Median: $625.59
0.4× median
99205Top 1%

Office/outpatient visit, new patient, high complexity

$10K

12 claims · 0.0%

Your Cost: $833.17/claim|Median: $111.09
7.5× median
S9445Normal range

$2K

178 claims · 0.0%

Your Cost: $9.20/claim|Median: $12.72
0.7× median
H0034Normal range

Medication training and management, per 15 min

$1K

38 claims · 0.0%

Your Cost: $35.46/claim|Median: $56.90
0.6× median
T1002Normal range

RN services, per 15 minutes

$846

15 claims · 0.0%

Your Cost: $56.39/claim|Median: $37.42
1.5× median
Q3014Normal range

Telehealth originating site facility fee

$39

3,931 claims · 0.0%

Your Cost: $0.01/claim|Median: $15.37
0.0× median