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MONTCALM CARE NETWORK

Community/Behavioral Health·STANTON, MI·NPI: 1710074448Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $62.1M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$62.1M

$62,115,919

Total Claims

262K

Beneficiaries

151K

1.7 claims/patient

Avg Cost/Claim

$237

Monthly Spending Trend

Yearly Spending

2018
$8.8M
-6%
2019
$8.2M
-28%
2020
$5.9M
+35%
2021
$8.0M
+25%
2022
$10.0M
+9%
2023
$10.9M
-6%
2024
$10.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 34 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 22% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$13.8M

65K claims · 22.3%

Your Cost: $211.43/claim|Median: $69.56
3.0× median
H0036Top 10%

Community psychiatric supportive treatment, per 15 min

$10.2M

37K claims · 16.4%

Your Cost: $272.86/claim|Median: $76.05
3.6× median
99214Top 1%

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

$7.0M

20K claims · 11.3%

Your Cost: $354.26/claim|Median: $53.41
6.6× median
H2030Top 5%

Mental health clubhouse services, per 15 minutes

$5.6M

24K claims · 9.0%

Your Cost: $232.06/claim|Median: $73.58
3.2× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$3.3M

20K claims · 5.3%

Your Cost: $164.56/claim|Median: $55.04
3.0× median
T1002Top 10%

RN services, per 15 minutes

$2.7M

6,881 claims · 4.3%

Your Cost: $385.28/claim|Median: $37.42
10.3× median
90791Top 1%

Psychiatric diagnostic evaluation

$2.4M

4,408 claims · 3.9%

Your Cost: $554.08/claim|Median: $99.21
5.6× median
90837Top 5%

Psychotherapy, 60 minutes

$2.2M

9,519 claims · 3.6%

Your Cost: $231.82/claim|Median: $85.66
2.7× median
90834Top 5%

Psychotherapy, 45 minutes

$1.6M

9,317 claims · 2.6%

Your Cost: $172.55/claim|Median: $63.65
2.7× median
99213Top 1%

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

$1.3M

5,626 claims · 2.2%

Your Cost: $238.55/claim|Median: $37.81
6.3× median
H0032Top 25%

Mental health service plan development

$1.3M

7,686 claims · 2.1%

Your Cost: $170.52/claim|Median: $80.64
2.1× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$1.2M

5,007 claims · 1.9%

Your Cost: $241.08/claim|Median: $84.12
2.9× median
H0031Top 10%

Mental health assessment by non-physician

$1.1M

3,931 claims · 1.8%

Your Cost: $287.43/claim|Median: $96.18
3.0× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$1.1M

2,634 claims · 1.8%

Your Cost: $415.54/claim|Median: $106.70
3.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.0M

9,711 claims · 1.7%

Your Cost: $106.62/claim|Median: $96.24
1.1× median
H2023Top 25%

Supported employment, per 15 min

$1.0M

5,147 claims · 1.7%

Your Cost: $199.84/claim|Median: $103.94
1.9× median
T1016Top 10%

Case management, each 15 min

$646K

2,560 claims · 1.0%

Your Cost: $252.36/claim|Median: $49.62
5.1× median
99215Top 1%

Office/outpatient visit, high complexity

$617K

1,122 claims · 1.0%

Your Cost: $550.23/claim|Median: $74.09
7.4× median
S0280Top 10%

Medical home program, comprehensive care management

$546K

1,938 claims · 0.9%

Your Cost: $281.84/claim|Median: $48.38
5.8× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$524K

4,638 claims · 0.8%

Your Cost: $112.95/claim|Median: $9.56
11.8× median
H2000Top 10%

Comprehensive multidisciplinary evaluation

$435K

1,393 claims · 0.7%

Your Cost: $312.49/claim|Median: $114.71
2.7× median
90832Top 10%

Psychotherapy, 30 minutes

$417K

3,985 claims · 0.7%

Your Cost: $104.56/claim|Median: $41.28
2.5× median
H2011Normal range

Crisis intervention service, per 15 minutes

$381K

1,391 claims · 0.6%

Your Cost: $273.85/claim|Median: $215.80
1.3× median
H0002Normal range

Behavioral health screening

$311K

4,972 claims · 0.5%

Your Cost: $62.58/claim|Median: $38.77
1.6× median
T1001Top 1%

Nursing assessment/evaluation, per visit

$309K

651 claims · 0.5%

Your Cost: $474.79/claim|Median: $49.05
9.7× median
H2022Normal range

Community-based wrap-around services, per diem

$225K

573 claims · 0.4%

Your Cost: $392.43/claim|Median: $336.31
1.2× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$213K

263 claims · 0.3%

Your Cost: $811.46/claim|Median: $108.91
7.5× median
S5111Top 10%

Home care training, family member, per session

$188K

824 claims · 0.3%

Your Cost: $227.60/claim|Median: $87.13
2.6× median
90853Top 5%

Group psychotherapy

$117K

595 claims · 0.2%

Your Cost: $197.42/claim|Median: $25.02
7.9× median
99203Top 1%

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

$75K

236 claims · 0.1%

Your Cost: $318.64/claim|Median: $57.85
5.5× median
H0034Top 5%

Medication training and management, per 15 min

$68K

119 claims · 0.1%

Your Cost: $572.84/claim|Median: $56.90
10.1× median
90847Top 10%

Family psychotherapy with patient, 50 min

$56K

273 claims · 0.1%

Your Cost: $204.14/claim|Median: $77.33
2.6× median
99212Top 5%

Office/outpatient visit, low complexity

$48K

266 claims · 0.1%

Your Cost: $181.75/claim|Median: $25.06
7.3× median
90785Top 1%

$9K

35 claims · 0.0%

Your Cost: $258.29/claim|Median: $6.43
40.2× 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 Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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