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MACOMB FAMILY SERVICES, INC.

Social Worker, Clinical·CLINTON TOWNSHIP, MI·NPI: 1831190701Share

Compared to Social Worker, Clinical Peers

Total spending distribution among 34 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.2M is at the 90th percentile among 34 Social Worker, Clinical providers.

Above 90th percentile for this specialty — higher spending than 30 of 34 peers

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

Total Paid

$20.2M

$20,249,898

Total Claims

115K

Beneficiaries

35K

3.3 claims/patient

Avg Cost/Claim

$176

Monthly Spending Trend

Yearly Spending

2018
$486K
+556%
2019
$3.2M
+11%
2020
$3.5M
-9%
2021
$3.2M
-1%
2022
$3.2M
+9%
2023
$3.5M
-11%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 30% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$6.1M

7,920 claims · 30.0%

Your Cost: $766.09/claim|Median: $321.53
2.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$4.7M

52K claims · 23.4%

Your Cost: $90.27/claim|Median: $96.24
0.9× median
T1020Top 25%

Personal care services, per diem

$4.1M

7,876 claims · 20.3%

Your Cost: $522.24/claim|Median: $296.27
1.8× median
H0043Top 5%

Supported housing, per diem

$1.9M

775 claims · 9.3%

Your Cost: $2,426.17/claim|Median: $164.87
14.7× median
90837Normal range

Psychotherapy, 60 minutes

$1.5M

20K claims · 7.3%

Your Cost: $75.35/claim|Median: $85.66
0.9× median
H0022Top 10%

$739K

7,883 claims · 3.7%

Your Cost: $93.76/claim|Median: $32.48
2.9× median
90834Normal range

Psychotherapy, 45 minutes

$564K

9,586 claims · 2.8%

Your Cost: $58.81/claim|Median: $63.65
0.9× median
H0001Normal range

Alcohol and/or drug assessment

$291K

1,894 claims · 1.4%

Your Cost: $153.46/claim|Median: $94.22
1.6× median
99213Normal range

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

$186K

4,145 claims · 0.9%

Your Cost: $44.76/claim|Median: $37.81
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$104K

1,145 claims · 0.5%

Your Cost: $90.43/claim|Median: $99.21
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$60K

1,531 claims · 0.3%

Your Cost: $39.19/claim|Median: $41.28
0.9× median
H0050Top 25%

$11K

136 claims · 0.1%

Your Cost: $78.80/claim|Median: $46.71
1.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$6K

71 claims · 0.0%

Your Cost: $85.08/claim|Median: $108.91
0.8× median
90847Normal range

Family psychotherapy with patient, 50 min

$4K

54 claims · 0.0%

Your Cost: $73.37/claim|Median: $77.33
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$3K

114 claims · 0.0%

Your Cost: $29.24/claim|Median: $25.06
1.2× median
H0032Normal range

Mental health service plan development

$3K

29 claims · 0.0%

Your Cost: $90.10/claim|Median: $80.64
1.1× median
H0006Normal range

Alcohol and/or drug services, case management

$2K

43 claims · 0.0%

Your Cost: $43.26/claim|Median: $43.10
1.0× median

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