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

⚖️ Compare🖨️ Print Report

PSYGENICS INC

Social Worker, Clinical·DEARBORN, MI·NPI: 1669736104Share

Compared to Social Worker, Clinical Peers

Total spending distribution among 34 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.4M is at the 90th percentile among 34 Social Worker, Clinical providers.

Above 90th percentile for this specialty — higher spending than 30 of 34 peers

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

Total Paid

$41.4M

$41,388,028

Total Claims

366K

Beneficiaries

204K

1.8 claims/patient

Avg Cost/Claim

$113

Monthly Spending Trend

Yearly Spending

2018
$4.5M
+6%
2019
$4.7M
+14%
2020
$5.4M
+43%
2021
$7.7M
-0%
2022
$7.7M
-22%
2023
$6.0M
-9%
2024
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 37 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 30% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$12.3M

69K claims · 29.7%

Your Cost: $178.58/claim|Median: $69.56
2.6× median
T1016Top 25%

Case management, each 15 min

$8.4M

45K claims · 20.2%

Your Cost: $187.13/claim|Median: $49.62
3.8× median
H0032Top 25%

Mental health service plan development

$4.2M

25K claims · 10.2%

Your Cost: $171.83/claim|Median: $80.64
2.1× median
92507Top 25%

Speech/hearing/language treatment

$3.5M

51K claims · 8.5%

Your Cost: $68.48/claim|Median: $49.45
1.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.8M

58K claims · 6.7%

Your Cost: $48.35/claim|Median: $24.49
2.0× median
H0031Top 25%

Mental health assessment by non-physician

$1.7M

10K claims · 4.1%

Your Cost: $168.10/claim|Median: $96.18
1.7× median
S5111Normal range

Home care training, family member, per session

$1.4M

18K claims · 3.4%

Your Cost: $76.84/claim|Median: $87.13
0.9× median
90837Top 5%

Psychotherapy, 60 minutes

$1.4M

8,845 claims · 3.3%

Your Cost: $152.95/claim|Median: $85.66
1.8× median
A0120Normal range

Non-emergency mini-bus transport

$977K

24K claims · 2.4%

Your Cost: $41.40/claim|Median: $16.09
2.6× median
90832Top 25%

Psychotherapy, 30 minutes

$947K

15K claims · 2.3%

Your Cost: $63.02/claim|Median: $41.28
1.5× median
99213Top 10%

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

$564K

7,578 claims · 1.4%

Your Cost: $74.40/claim|Median: $37.81
2.0× median
97166Top 5%

OT evaluation, moderate complexity

$436K

2,799 claims · 1.1%

Your Cost: $155.69/claim|Median: $48.74
3.2× median
90834Top 25%

Psychotherapy, 45 minutes

$368K

3,695 claims · 0.9%

Your Cost: $99.61/claim|Median: $63.65
1.6× median
92523Normal range

Evaluation of speech sound production with language comprehension

$346K

2,692 claims · 0.8%

Your Cost: $128.42/claim|Median: $110.87
1.2× median
S9445Top 25%

$319K

5,863 claims · 0.8%

Your Cost: $54.42/claim|Median: $12.72
4.3× median
S0280Top 25%

Medical home program, comprehensive care management

$246K

1,118 claims · 0.6%

Your Cost: $219.61/claim|Median: $48.38
4.5× median
99214Top 5%

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

$242K

2,032 claims · 0.6%

Your Cost: $118.98/claim|Median: $53.41
2.2× median
T1001Top 25%

Nursing assessment/evaluation, per visit

$204K

2,032 claims · 0.5%

Your Cost: $100.46/claim|Median: $49.05
2.0× median
90791Top 10%

Psychiatric diagnostic evaluation

$200K

1,082 claims · 0.5%

Your Cost: $184.85/claim|Median: $99.21
1.9× median
90847Top 25%

Family psychotherapy with patient, 50 min

$184K

1,635 claims · 0.4%

Your Cost: $112.84/claim|Median: $77.33
1.5× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$151K

571 claims · 0.4%

Your Cost: $265.18/claim|Median: $108.91
2.4× median
H2023Normal range

Supported employment, per 15 min

$117K

893 claims · 0.3%

Your Cost: $130.71/claim|Median: $103.94
1.3× median
H0046Normal range

Mental health services, not otherwise specified

$111K

3,900 claims · 0.3%

Your Cost: $28.45/claim|Median: $85.02
0.3× median
T1002Normal range

RN services, per 15 minutes

$111K

3,518 claims · 0.3%

Your Cost: $31.47/claim|Median: $37.42
0.8× median
90846Top 25%

Family psychotherapy without patient, 50 min

$82K

734 claims · 0.2%

Your Cost: $111.43/claim|Median: $76.61
1.5× median
90853Top 25%

Group psychotherapy

$62K

1,550 claims · 0.2%

Your Cost: $40.32/claim|Median: $25.02
1.6× median
96110Top 1%

Developmental screening, per standardized instrument

$46K

320 claims · 0.1%

Your Cost: $145.12/claim|Median: $9.10
15.9× median
99212Top 25%

Office/outpatient visit, low complexity

$45K

880 claims · 0.1%

Your Cost: $51.60/claim|Median: $25.06
2.1× median
99215Top 25%

Office/outpatient visit, high complexity

$11K

82 claims · 0.0%

Your Cost: $131.83/claim|Median: $74.09
1.8× median
96130Normal range

Psychological testing evaluation by professional, first hour

$4K

40 claims · 0.0%

Your Cost: $104.04/claim|Median: $79.21
1.3× median
97168Top 10%

OT re-evaluation

$3K

27 claims · 0.0%

Your Cost: $120.00/claim|Median: $50.43
2.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$2K

47 claims · 0.0%

Your Cost: $46.94/claim|Median: $55.04
0.9× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$2K

12 claims · 0.0%

Your Cost: $154.81/claim|Median: $114.71
1.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1K

15 claims · 0.0%

Your Cost: $96.67/claim|Median: $215.80
0.4× median
96101Normal range

$1K

18 claims · 0.0%

Your Cost: $80.00/claim|Median: $196.08
0.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$914

44 claims · 0.0%

Your Cost: $20.77/claim|Median: $9.56
2.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$320

13 claims · 0.0%

Your Cost: $24.62/claim|Median: $12.93
1.9× 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 Social Worker, Clinical

Childrens Hospital of the Kings Daughters INC

Norfolk, VA

$288.2M

Department of Behavioral Health

Fresno, CA

$166.3M

Integrated Services for Behavioral Health

Nelsonville, OH

$131.8M

← All providersAll providers in Michigan →How we detect fraud →