Is SACRED HEART REHABILITATION CENTER, INC. flagged for Medicaid fraud?

SACRED HEART REHABILITATION CENTER, INC. (NPI: 1750363305) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does SACRED HEART REHABILITATION CENTER, INC. bill Medicaid?

SACRED HEART REHABILITATION CENTER, INC. received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Substance Abuse Rehabilitation Facility provider. Located in RICHMOND, MI.

What is NPI 1750363305?

NPI 1750363305 is the National Provider Identifier for SACRED HEART REHABILITATION CENTER, INC.. They are a Substance Abuse Rehabilitation Facility provider based in RICHMOND, MI. This NPI is registered with the CMS NPI Registry.

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SACRED HEART REHABILITATION CENTER, INC.

Substance Abuse Rehabilitation Facility·RICHMOND, MI·NPI: 1750363305Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $75.3M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

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

Total Paid

$75.3M

$75,314,587

Total Claims

724K

Beneficiaries

116K

6.2 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2018

$9.6M

+3%

2019

$9.8M

-27%

2020

$7.1M

+35%

2021

$9.7M

+47%

2022

$14.2M

-10%

2023

$12.8M

-5%

2024

$12.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 52% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0018Behavioral health; short-term residential, per diemSee all providers →

$39.4M

134K claims

$295.30

$467.51

0.6×

Normal range

H0018Normal range

Behavioral health; short-term residential, per diem

$39.4M

134K claims · 52.4%

Your Cost: $295.30/claim|Median: $467.51

0.6× median

H0010Alcohol and/or drug services, sub-acute detoxification, per diemSee all providers →

$13.5M

32K claims

$420.67

$369.55

1.1×

Normal range

H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$13.5M

32K claims · 18.0%

Your Cost: $420.67/claim|Median: $369.55

1.1× median

H0019Behavioral health; residential, per diemSee all providers →

$9.1M

54K claims

$168.94

$357.16

0.5×

Normal range

H0019Normal range

Behavioral health; residential, per diem

$9.1M

54K claims · 12.1%

Your Cost: $168.94/claim|Median: $357.16

0.5× median

S9976 See all providers →

$7.7M

205K claims

$37.58

$64.43

0.6×

Normal range

S9976Normal range

$7.7M

205K claims · 10.2%

Your Cost: $37.58/claim|Median: $64.43

0.6× median

H0020Alcohol/drug services; methadone administrationSee all providers →

$2.1M

224K claims

$9.17

$18.95

0.5×

Normal range

H0020Normal range

Alcohol/drug services; methadone administration

$2.1M

224K claims · 2.7%

Your Cost: $9.17/claim|Median: $18.95

0.5× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$762K

26K claims

$29.07

$55.04

0.5×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$762K

26K claims · 1.0%

Your Cost: $29.07/claim|Median: $55.04

0.5× median

90834Psychotherapy, 45 minutesSee all providers →

$620K

7,500 claims

$82.62

$63.65

1.3×

Top 25%

90834Top 25%

Psychotherapy, 45 minutes

$620K

7,500 claims · 0.8%

Your Cost: $82.62/claim|Median: $63.65

1.3× median

T1012Alcohol/drug services, skills developmentSee all providers →

$539K

18K claims

$30.14

$40.78

0.7×

Normal range

T1012Normal range

Alcohol/drug services, skills development

$539K

18K claims · 0.7%

Your Cost: $30.14/claim|Median: $40.78

0.7× median

H0001Alcohol and/or drug assessmentSee all providers →

$453K

3,995 claims

$113.43

$94.22

1.2×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$453K

3,995 claims · 0.6%

Your Cost: $113.43/claim|Median: $94.22

1.2× median

S0280Medical home program, comprehensive care managementSee all providers →

$397K

1,898 claims

$209.39

$48.38

4.3×

Top 25%

S0280Top 25%

Medical home program, comprehensive care management

$397K

1,898 claims · 0.5%

Your Cost: $209.39/claim|Median: $48.38

4.3× median

H0003 See all providers →

$276K

13K claims

$21.08

$13.38

1.6×

Normal range

H0003Normal range

$276K

13K claims · 0.4%

Your Cost: $21.08/claim|Median: $13.38

1.6× median

H0012 See all providers →

$201K

467 claims

$431.30

$295.95

1.5×

Top 25%

H0012Top 25%

$201K

467 claims · 0.3%

Your Cost: $431.30/claim|Median: $295.95

1.5× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$69K

849 claims

$81.67

$37.81

2.2×

Top 10%

99213Top 10%

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

$69K

849 claims · 0.1%

Your Cost: $81.67/claim|Median: $37.81

2.2× median

90853Group psychotherapySee all providers →

$46K

1,615 claims

$28.47

$25.02

1.1×

Normal range

90853Normal range

Group psychotherapy

$46K

1,615 claims · 0.1%

Your Cost: $28.47/claim|Median: $25.02

1.1× median

90837Psychotherapy, 60 minutesSee all providers →

$40K

363 claims

$109.58

$85.66

1.3×

Top 25%

90837Top 25%

Psychotherapy, 60 minutes

$40K

363 claims · 0.1%

Your Cost: $109.58/claim|Median: $85.66

1.3× median

H0002Behavioral health screeningSee all providers →

$30K

564 claims

$52.50

$38.77

1.4×

Normal range

H0002Normal range

Behavioral health screening

$30K

564 claims · 0.0%

Your Cost: $52.50/claim|Median: $38.77

1.4× median

H0006Alcohol and/or drug services, case managementSee all providers →

$20K

267 claims

$75.00

$43.10

1.7×

Top 25%

H0006Top 25%

Alcohol and/or drug services, case management

$20K

267 claims · 0.0%

Your Cost: $75.00/claim|Median: $43.10

1.7× median

90832Psychotherapy, 30 minutesSee all providers →

$17K

312 claims

$53.05

$41.28

1.3×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$17K

312 claims · 0.0%

Your Cost: $53.05/claim|Median: $41.28

1.3× median

99212Office/outpatient visit, low complexitySee all providers →

$8K

222 claims

$38.17

$25.06

1.5×

Top 25%

99212Top 25%

Office/outpatient visit, low complexity

$8K

222 claims · 0.0%

Your Cost: $38.17/claim|Median: $25.06

1.5× median

S0215Non-invasive prenatal screening, fetal chromosomal abnormalitiesSee all providers →

$434

17 claims

$25.54

$21.33

1.2×

Normal range

S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$434

17 claims · 0.0%

Your Cost: $25.54/claim|Median: $21.33

1.2× median

A0110Non-emergency taxi transportSee all providers →

$237

12 claims

$19.75

$9.27

2.1×

Normal range

A0110Normal range

Non-emergency taxi transport

$237

12 claims · 0.0%

Your Cost: $19.75/claim|Median: $9.27

2.1× median

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$342.6M

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