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Saginaw County Community Mental Health Authority

Community/Behavioral Health·Saginaw, MI·NPI: 1689778953Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $172.2M is at the 75th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$172.2M

$172,173,555

Total Claims

797K

Beneficiaries

396K

2.0 claims/patient

Avg Cost/Claim

$216

#567 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Saginaw County Community Mental Health Authority is a Community/Behavioral Health provider based in Saginaw, MI. From the 2018–2024 period, this provider received $172.2M in Medicaid payments across 797K claims.

Important Context

  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.

Why This Matters

This provider received $172.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,521 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 2% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$23.5M
-8%
2019
$21.6M
-8%
2020
$19.8M
-7%
2021
$18.4M
+50%
2022
$27.6M
+35%
2023
$37.2M
-35%
2024
$24.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 25% of total spending.

T1017Top 10%

Targeted case management, per 15 min

$42.7M

148K claims · 24.8%

Your Cost: $288.08/claim|Median: $69.56
4.1× median
T1016Top 10%

Case management, each 15 min

$16.1M

49K claims · 9.4%

Your Cost: $328.84/claim|Median: $49.62
6.6× median
T1040Normal range

Medicaid certified CCBHC services

$14.7M

193K claims · 8.5%

Your Cost: $75.85/claim|Median: $130.29
0.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$8.9M

94K claims · 5.1%

Your Cost: $94.50/claim|Median: $96.24
1.0× median
H2023Top 5%

Supported employment, per 15 min

$8.7M

11K claims · 5.1%

Your Cost: $791.09/claim|Median: $103.94
7.6× median
T1023Top 10%

Screening to determine appropriateness of consideration for program

$7.0M

18K claims · 4.1%

Your Cost: $398.11/claim|Median: $106.70
3.7× median
99214Top 1%

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

$6.9M

26K claims · 4.0%

Your Cost: $259.96/claim|Median: $53.41
4.9× median
90837Top 1%

Psychotherapy, 60 minutes

$6.8M

18K claims · 4.0%

Your Cost: $378.99/claim|Median: $85.66
4.4× median
H0031Top 5%

Mental health assessment by non-physician

$6.8M

16K claims · 3.9%

Your Cost: $437.13/claim|Median: $96.18
4.5× median
H2011Normal range

Crisis intervention service, per 15 minutes

$6.6M

14K claims · 3.8%

Your Cost: $464.97/claim|Median: $215.80
2.2× median
90834Top 5%

Psychotherapy, 45 minutes

$4.7M

18K claims · 2.7%

Your Cost: $255.36/claim|Median: $63.65
4.0× median
99213Top 1%

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

$4.6M

18K claims · 2.7%

Your Cost: $261.33/claim|Median: $37.81
6.9× median
H2021Top 10%

Community-based wrap-around services, per 15 min

$4.1M

5,974 claims · 2.4%

Your Cost: $679.69/claim|Median: $169.11
4.0× median
90791Top 1%

Psychiatric diagnostic evaluation

$3.5M

10K claims · 2.0%

Your Cost: $334.96/claim|Median: $99.21
3.4× median
H0032Top 10%

Mental health service plan development

$2.5M

9,914 claims · 1.5%

Your Cost: $255.81/claim|Median: $80.64
3.2× median
H0039Normal range

Assertive community treatment, per diem

$2.3M

16K claims · 1.3%

Your Cost: $146.07/claim|Median: $132.62
1.1× median
90832Top 5%

Psychotherapy, 30 minutes

$2.2M

9,941 claims · 1.3%

Your Cost: $220.80/claim|Median: $41.28
5.3× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$2.2M

9,357 claims · 1.3%

Your Cost: $232.70/claim|Median: $55.04
4.2× median
S9482Normal range

Family stabilization services, per 15 minutes

$1.7M

4,966 claims · 1.0%

Your Cost: $350.15/claim|Median: $625.59
0.6× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$1.7M

19K claims · 1.0%

Your Cost: $90.30/claim|Median: $73.58
1.2× median
H0002Top 5%

Behavioral health screening

$1.7M

7,504 claims · 1.0%

Your Cost: $225.26/claim|Median: $38.77
5.8× median
T1002Top 25%

RN services, per 15 minutes

$1.4M

9,783 claims · 0.8%

Your Cost: $138.27/claim|Median: $37.42
3.7× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$1.3M

18K claims · 0.7%

Your Cost: $69.76/claim|Median: $9.56
7.3× median
97530Top 1%

Therapeutic activities, each 15 min

$1.2M

3,327 claims · 0.7%

Your Cost: $359.00/claim|Median: $33.11
10.8× median
S5111Top 5%

Home care training, family member, per session

$1.1M

3,519 claims · 0.7%

Your Cost: $326.28/claim|Median: $87.13
3.7× median
H2022Normal range

Community-based wrap-around services, per diem

$1.1M

1,441 claims · 0.7%

Your Cost: $791.56/claim|Median: $336.31
2.4× median
T1005Normal range

Respite care services, per 15 minutes

$949K

9,154 claims · 0.6%

Your Cost: $103.62/claim|Median: $71.40
1.5× median
90847Top 1%

Family psychotherapy with patient, 50 min

$852K

2,450 claims · 0.5%

Your Cost: $347.62/claim|Median: $77.33
4.5× median
90853Top 1%

Group psychotherapy

$848K

3,381 claims · 0.5%

Your Cost: $250.69/claim|Median: $25.02
10.0× median
T1001Top 5%

Nursing assessment/evaluation, per visit

$825K

2,347 claims · 0.5%

Your Cost: $351.30/claim|Median: $49.05
7.2× median

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