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IONIA COUNTY COMMUNITY MENTAL HEALTH

Public Health or Welfare·IONIA, MI·NPI: 1760452122Share

Compared to Public Health or Welfare Peers

Total spending distribution among 17 providers in this specialty

P25MedianP75P90

This provider's total spending of $93.9M is at the 25th percentile among 17 Public Health or Welfare providers.

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

Total Paid

$93.9M

$93,924,617

Total Claims

359K

Beneficiaries

188K

1.9 claims/patient

Avg Cost/Claim

$261

Monthly Spending Trend

Yearly Spending

2018
$8.3M
+3%
2019
$8.5M
-11%
2020
$7.5M
+42%
2021
$10.7M
+90%
2022
$20.4M
+4%
2023
$21.2M
-18%
2024
$17.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 45 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 28% of total spending.

T1040Top 5%

Medicaid certified CCBHC services

$26.4M

88K claims · 28.2%

Your Cost: $300.88/claim|Median: $130.29
2.3× median
T1017Top 25%

Targeted case management, per 15 min

$12.3M

50K claims · 13.1%

Your Cost: $245.89/claim|Median: $69.56
3.5× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$8.5M

27K claims · 9.0%

Your Cost: $312.99/claim|Median: $76.05
4.1× median
97153Top 10%

Adaptive behavior treatment by protocol, per 15 min

$6.2M

18K claims · 6.6%

Your Cost: $336.30/claim|Median: $167.38
2.0× median
99214Top 1%

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

$5.8M

17K claims · 6.2%

Your Cost: $344.33/claim|Median: $53.41
6.4× median
90837Top 5%

Psychotherapy, 60 minutes

$4.1M

23K claims · 4.4%

Your Cost: $175.52/claim|Median: $85.66
2.0× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$3.3M

16K claims · 3.5%

Your Cost: $213.30/claim|Median: $55.04
3.9× median
T1016Top 25%

Case management, each 15 min

$3.2M

17K claims · 3.4%

Your Cost: $187.86/claim|Median: $49.62
3.8× median
90791Top 1%

Psychiatric diagnostic evaluation

$2.9M

4,639 claims · 3.1%

Your Cost: $632.37/claim|Median: $99.21
6.4× median
H0002Top 1%

Behavioral health screening

$2.2M

6,132 claims · 2.3%

Your Cost: $358.98/claim|Median: $38.77
9.3× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$2.0M

2,677 claims · 2.1%

Your Cost: $735.48/claim|Median: $106.70
6.9× median
90834Top 5%

Psychotherapy, 45 minutes

$1.9M

13K claims · 2.1%

Your Cost: $148.01/claim|Median: $63.65
2.3× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.9M

8,158 claims · 2.1%

Your Cost: $237.02/claim|Median: $146.45
1.6× median
99213Top 1%

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

$1.8M

7,158 claims · 1.9%

Your Cost: $249.88/claim|Median: $37.81
6.6× median
H0032Top 25%

Mental health service plan development

$1.6M

8,469 claims · 1.7%

Your Cost: $187.73/claim|Median: $80.64
2.3× median
0365TTop 1%

Adaptive behavior treatment, each additional thirty minutes

$1.2M

2,691 claims · 1.3%

Your Cost: $444.29/claim|Median: $106.05
4.2× median
H0031Top 10%

Mental health assessment by non-physician

$1.0M

4,410 claims · 1.1%

Your Cost: $235.47/claim|Median: $96.18
2.4× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$932K

1,050 claims · 1.0%

Your Cost: $887.42/claim|Median: $108.91
8.1× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$781K

6,111 claims · 0.8%

Your Cost: $127.86/claim|Median: $9.56
13.4× median
S5111Top 25%

Home care training, family member, per session

$678K

3,372 claims · 0.7%

Your Cost: $201.07/claim|Median: $87.13
2.3× median
T1001Top 5%

Nursing assessment/evaluation, per visit

$620K

2,442 claims · 0.7%

Your Cost: $253.98/claim|Median: $49.05
5.2× median
T1002Top 25%

RN services, per 15 minutes

$595K

3,613 claims · 0.6%

Your Cost: $164.71/claim|Median: $37.42
4.4× median
99215Top 1%

Office/outpatient visit, high complexity

$556K

1,174 claims · 0.6%

Your Cost: $473.99/claim|Median: $74.09
6.4× median
H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$481K

2,891 claims · 0.5%

Your Cost: $166.49/claim|Median: $74.63
2.2× median
H2023Top 25%

Supported employment, per 15 min

$447K

1,726 claims · 0.5%

Your Cost: $259.04/claim|Median: $103.94
2.5× median
H2021Top 25%

Community-based wrap-around services, per 15 min

$389K

734 claims · 0.4%

Your Cost: $530.16/claim|Median: $169.11
3.1× median
90847Top 10%

Family psychotherapy with patient, 50 min

$385K

2,630 claims · 0.4%

Your Cost: $146.41/claim|Median: $77.33
1.9× median
90832Top 25%

Psychotherapy, 30 minutes

$381K

4,581 claims · 0.4%

Your Cost: $83.27/claim|Median: $41.28
2.0× median
90853Top 25%

Group psychotherapy

$264K

5,955 claims · 0.3%

Your Cost: $44.38/claim|Median: $25.02
1.8× median
0364TTop 5%

$237K

2,536 claims · 0.3%

Your Cost: $93.65/claim|Median: $21.31
4.4× median
T1012Top 25%

Alcohol/drug services, skills development

$165K

1,703 claims · 0.2%

Your Cost: $96.94/claim|Median: $40.78
2.4× median
0369TTop 25%

$157K

1,031 claims · 0.2%

Your Cost: $152.37/claim|Median: $102.36
1.5× median
0368TTop 5%

$128K

1,332 claims · 0.1%

Your Cost: $95.79/claim|Median: $44.63
2.1× median
97156Normal range

$91K

1,005 claims · 0.1%

Your Cost: $90.31/claim|Median: $88.65
1.0× median
H0001Top 5%

Alcohol and/or drug assessment

$82K

250 claims · 0.1%

Your Cost: $327.18/claim|Median: $94.22
3.5× median
97533Top 1%

$66K

276 claims · 0.1%

Your Cost: $237.63/claim|Median: $48.71
4.9× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$35K

257 claims · 0.0%

Your Cost: $136.75/claim|Median: $114.71
1.2× median
H2015Normal range

Comprehensive community support services, per 15 min

$32K

516 claims · 0.0%

Your Cost: $61.60/claim|Median: $96.24
0.6× median
90846Top 25%

Family psychotherapy without patient, 50 min

$21K

185 claims · 0.0%

Your Cost: $112.17/claim|Median: $76.61
1.5× median
T1005Normal range

Respite care services, per 15 minutes

$19K

231 claims · 0.0%

Your Cost: $82.91/claim|Median: $71.40
1.2× median
99203Top 1%

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

$18K

63 claims · 0.0%

Your Cost: $291.30/claim|Median: $57.85
5.0× median
0370TNormal range

$18K

182 claims · 0.0%

Your Cost: $97.76/claim|Median: $88.49
1.1× median
T2025Normal range

Waiver services, NOS; per 15 min

$11K

105 claims · 0.0%

Your Cost: $105.57/claim|Median: $124.39
0.8× median
H2011Normal range

Crisis intervention service, per 15 minutes

$7K

43 claims · 0.0%

Your Cost: $172.09/claim|Median: $215.80
0.8× median
99212Top 5%

Office/outpatient visit, low complexity

$7K

47 claims · 0.0%

Your Cost: $151.00/claim|Median: $25.06
6.0× median