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HOPE NETWORK WEST MICHIGAN

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·SPARTA, MI·NPI: 1679558670Share

Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $88.6M is at the 50th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

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

Total Paid

$88.6M

$88,575,496

Total Claims

803K

Beneficiaries

64K

12.5 claims/patient

Avg Cost/Claim

$110

Monthly Spending Trend

Yearly Spending

2018
$16.3M
-24%
2019
$12.5M
-30%
2020
$8.7M
+34%
2021
$11.7M
+4%
2022
$12.1M
+4%
2023
$12.6M
+16%
2024
$14.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 45% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$40.2M

46K claims · 45.3%

Your Cost: $874.37/claim|Median: $321.53
2.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$17.1M

328K claims · 19.3%

Your Cost: $52.24/claim|Median: $96.24
0.5× median
H2014Normal range

Skills training & development, per 15 min

$13.1M

286K claims · 14.7%

Your Cost: $45.65/claim|Median: $83.88
0.5× median
T1020Normal range

Personal care services, per diem

$10.0M

43K claims · 11.3%

Your Cost: $234.12/claim|Median: $296.27
0.8× median
H2023Normal range

Supported employment, per 15 min

$4.7M

80K claims · 5.4%

Your Cost: $59.12/claim|Median: $103.94
0.6× median
T1016Top 10%

Case management, each 15 min

$1.2M

4,787 claims · 1.4%

Your Cost: $250.99/claim|Median: $49.62
5.1× median
T2003Top 10%

Non-emergency transport; encounter/trip

$787K

10K claims · 0.9%

Your Cost: $77.93/claim|Median: $21.70
3.6× median
T2022Normal range

Case management, per month

$543K

2,239 claims · 0.6%

Your Cost: $242.64/claim|Median: $202.77
1.2× median
H0018Normal range

Behavioral health; short-term residential, per diem

$223K

373 claims · 0.3%

Your Cost: $597.07/claim|Median: $467.51
1.3× median
T1017Top 25%

Targeted case management, per 15 min

$184K

923 claims · 0.2%

Your Cost: $199.40/claim|Median: $69.56
2.9× median
H0039Normal range

Assertive community treatment, per diem

$81K

374 claims · 0.1%

Your Cost: $216.94/claim|Median: $132.62
1.6× median
H0032Top 5%

Mental health service plan development

$81K

262 claims · 0.1%

Your Cost: $307.43/claim|Median: $80.64
3.8× median
H0031Top 5%

Mental health assessment by non-physician

$68K

174 claims · 0.1%

Your Cost: $390.46/claim|Median: $96.18
4.1× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$66K

180 claims · 0.1%

Your Cost: $368.50/claim|Median: $76.05
4.8× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$45K

105 claims · 0.1%

Your Cost: $425.00/claim|Median: $106.70
4.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$43K

170 claims · 0.0%

Your Cost: $254.71/claim|Median: $215.80
1.2× median
99214Top 1%

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

$35K

148 claims · 0.0%

Your Cost: $235.84/claim|Median: $53.41
4.4× median
90834Normal range

Psychotherapy, 45 minutes

$33K

409 claims · 0.0%

Your Cost: $80.40/claim|Median: $63.65
1.3× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$31K

339 claims · 0.0%

Your Cost: $91.34/claim|Median: $73.58
1.2× median
90847Top 10%

Family psychotherapy with patient, 50 min

$27K

169 claims · 0.0%

Your Cost: $157.04/claim|Median: $77.33
2.0× median
90837Top 10%

Psychotherapy, 60 minutes

$14K

98 claims · 0.0%

Your Cost: $147.33/claim|Median: $85.66
1.7× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$12K

53 claims · 0.0%

Your Cost: $235.00/claim|Median: $9.56
24.6× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$7K

16 claims · 0.0%

Your Cost: $450.00/claim|Median: $108.91
4.1× median
T1001Top 5%

Nursing assessment/evaluation, per visit

$7K

27 claims · 0.0%

Your Cost: $256.59/claim|Median: $49.05
5.2× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$5K

35 claims · 0.0%

Your Cost: $150.66/claim|Median: $114.71
1.3× median
99213Top 1%

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

$4K

19 claims · 0.0%

Your Cost: $230.00/claim|Median: $37.81
6.1× median
H0002Top 5%

Behavioral health screening

$2K

13 claims · 0.0%

Your Cost: $185.00/claim|Median: $38.77
4.8× median
T1002Top 25%

RN services, per 15 minutes

$2K

13 claims · 0.0%

Your Cost: $172.31/claim|Median: $37.42
4.6× median
90832Top 25%

Psychotherapy, 30 minutes

$1K

17 claims · 0.0%

Your Cost: $76.75/claim|Median: $41.28
1.9× median
S0281Normal range

$1K

15 claims · 0.0%

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

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