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SUMMIT POINTE

Psychiatry & Neurology, Psychiatry·BATTLE CREEK, MI·NPI: 1700833555Share

Compared to Psychiatry & Neurology, Psychiatry Peers

Total spending distribution among 15 providers in this specialty

P25MedianP75P90

This provider's total spending of $72.1M is at the 90th percentile among 15 Psychiatry & Neurology, Psychiatry providers.

Above 90th percentile for this specialty — higher spending than 13 of 15 peers

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

Total Paid

$72.1M

$72,109,851

Total Claims

517K

Beneficiaries

299K

1.7 claims/patient

Avg Cost/Claim

$139

Monthly Spending Trend

Yearly Spending

2018
$10.7M
-2%
2019
$10.4M
-11%
2020
$9.3M
+5%
2021
$9.8M
+18%
2022
$11.6M
-6%
2023
$10.8M
-12%
2024
$9.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 48 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 33% of total spending.

T1017Top 5%

Targeted case management, per 15 min

$24.1M

73K claims · 33.4%

Your Cost: $329.05/claim|Median: $69.56
4.7× median
H0039Normal range

Assertive community treatment, per diem

$7.8M

42K claims · 10.8%

Your Cost: $182.90/claim|Median: $132.62
1.4× median
T1016Top 10%

Case management, each 15 min

$6.3M

21K claims · 8.7%

Your Cost: $298.90/claim|Median: $49.62
6.0× median
H0036Top 1%

Community psychiatric supportive treatment, per 15 min

$4.5M

8,754 claims · 6.2%

Your Cost: $512.31/claim|Median: $76.05
6.7× median
90834Normal range

Psychotherapy, 45 minutes

$3.7M

46K claims · 5.1%

Your Cost: $81.46/claim|Median: $63.65
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$3.5M

35K claims · 4.8%

Your Cost: $99.17/claim|Median: $85.66
1.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$2.6M

44K claims · 3.7%

Your Cost: $59.67/claim|Median: $55.04
1.1× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$2.6M

4,368 claims · 3.6%

Your Cost: $600.10/claim|Median: $106.70
5.6× median
99213Top 25%

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

$2.4M

37K claims · 3.3%

Your Cost: $64.62/claim|Median: $37.81
1.7× median
H0031Normal range

Mental health assessment by non-physician

$1.7M

12K claims · 2.4%

Your Cost: $148.82/claim|Median: $96.18
1.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.7M

17K claims · 2.4%

Your Cost: $102.68/claim|Median: $96.24
1.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.3M

3,380 claims · 1.8%

Your Cost: $387.81/claim|Median: $215.80
1.8× median
H0002Top 10%

Behavioral health screening

$1.1M

7,285 claims · 1.6%

Your Cost: $155.50/claim|Median: $38.77
4.0× median
99214Top 10%

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

$1.1M

11K claims · 1.5%

Your Cost: $103.50/claim|Median: $53.41
1.9× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$1.1M

7,675 claims · 1.5%

Your Cost: $140.53/claim|Median: $167.38
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$833K

17K claims · 1.2%

Your Cost: $50.23/claim|Median: $41.28
1.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$635K

3,342 claims · 0.9%

Your Cost: $189.86/claim|Median: $111.09
1.7× median
H2021Normal range

Community-based wrap-around services, per 15 min

$534K

5,300 claims · 0.7%

Your Cost: $100.77/claim|Median: $169.11
0.6× median
S0280Normal range

Medical home program, comprehensive care management

$498K

9,095 claims · 0.7%

Your Cost: $54.71/claim|Median: $48.38
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$489K

5,001 claims · 0.7%

Your Cost: $97.80/claim|Median: $77.33
1.3× median
90853Normal range

Group psychotherapy

$468K

17K claims · 0.6%

Your Cost: $28.02/claim|Median: $25.02
1.1× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$387K

14K claims · 0.5%

Your Cost: $27.57/claim|Median: $9.56
2.9× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$382K

3,190 claims · 0.5%

Your Cost: $119.75/claim|Median: $106.05
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$331K

8,197 claims · 0.5%

Your Cost: $40.35/claim|Median: $25.06
1.6× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$288K

2,294 claims · 0.4%

Your Cost: $125.61/claim|Median: $146.45
0.9× median
H2022Normal range

Community-based wrap-around services, per diem

$265K

778 claims · 0.4%

Your Cost: $340.00/claim|Median: $336.31
1.0× median
H2023Top 25%

Supported employment, per 15 min

$264K

1,651 claims · 0.4%

Your Cost: $159.78/claim|Median: $103.94
1.5× median
H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$224K

1,159 claims · 0.3%

Your Cost: $193.26/claim|Median: $227.82
0.8× median
S5111Top 25%

Home care training, family member, per session

$220K

1,576 claims · 0.3%

Your Cost: $139.85/claim|Median: $87.13
1.6× median
H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$166K

595 claims · 0.2%

Your Cost: $278.40/claim|Median: $74.63
3.7× median
99215Top 25%

Office/outpatient visit, high complexity

$121K

938 claims · 0.2%

Your Cost: $128.51/claim|Median: $74.09
1.7× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$117K

845 claims · 0.2%

Your Cost: $137.99/claim|Median: $84.03
1.6× median
0368TTop 25%

$85K

1,417 claims · 0.1%

Your Cost: $60.00/claim|Median: $44.63
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$83K

1,000 claims · 0.1%

Your Cost: $83.37/claim|Median: $99.21
0.8× median
0364TNormal range

$81K

3,249 claims · 0.1%

Your Cost: $25.00/claim|Median: $21.31
1.2× median
0369TNormal range

$50K

743 claims · 0.1%

Your Cost: $67.51/claim|Median: $102.36
0.7× median
96112Normal range

Developmental test administration

$25K

155 claims · 0.0%

Your Cost: $160.00/claim|Median: $102.95
1.6× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$21K

356 claims · 0.0%

Your Cost: $60.00/claim|Median: $114.71
0.5× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$20K

207 claims · 0.0%

Your Cost: $95.00/claim|Median: $129.75
0.7× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$12K

125 claims · 0.0%

Your Cost: $97.17/claim|Median: $57.85
1.7× median
96113Normal range

Developmental test admin, each additional 30 min

$10K

102 claims · 0.0%

Your Cost: $101.96/claim|Median: $77.06
1.3× median
97156Normal range

$9K

137 claims · 0.0%

Your Cost: $64.60/claim|Median: $88.65
0.7× median
H0001Normal range

Alcohol and/or drug assessment

$6K

1,738 claims · 0.0%

Your Cost: $3.62/claim|Median: $94.22
0.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$4K

37 claims · 0.0%

Your Cost: $95.69/claim|Median: $76.61
1.2× median
99417Top 25%

$3K

47 claims · 0.0%

Your Cost: $72.34/claim|Median: $34.90
2.1× median
99211Top 10%

Office/outpatient visit, minimal complexity

$1K

31 claims · 0.0%

Your Cost: $40.74/claim|Median: $12.93
3.2× median
H0034Normal range

Medication training and management, per 15 min

$812

25 claims · 0.0%

Your Cost: $32.48/claim|Median: $56.90
0.6× median
T1040Normal range

Medicaid certified CCBHC services

$348

48K claims · 0.0%

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

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