Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

OAKLAND COMMUNITY HEALTH NETWORK

Community/Behavioral Health·TROY, MI·NPI: 1851478622Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.2M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(73 months)

Total Paid

$19.2M

$19,211,744

Total Claims

103K

Beneficiaries

25K

4.1 claims/patient

Avg Cost/Claim

$187

Monthly Spending Trend

Yearly Spending

2018
$4.6M
+92%
2019
$8.8M
-48%
2020
$4.6M
-98%
2021
$101K
-87%
2022
$13K
+3120%
2023
$408K
+86%
2024
$759K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 53% of total spending.

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$10.2M

43K claims · 52.8%

Your Cost: $236.33/claim|Median: $167.38
1.4× median
0365TTop 25%

Adaptive behavior treatment, each additional thirty minutes

$2.8M

17K claims · 14.5%

Your Cost: $165.03/claim|Median: $106.05
1.6× median
H0002Top 5%

Behavioral health screening

$2.7M

14K claims · 14.3%

Your Cost: $198.22/claim|Median: $38.77
5.1× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.6M

9,109 claims · 8.3%

Your Cost: $174.86/claim|Median: $146.45
1.2× median
0364TTop 10%

$460K

10K claims · 2.4%

Your Cost: $45.10/claim|Median: $21.31
2.1× median
H0031Top 5%

Mental health assessment by non-physician

$339K

942 claims · 1.8%

Your Cost: $360.10/claim|Median: $96.18
3.7× median
0369TTop 25%

$336K

2,189 claims · 1.8%

Your Cost: $153.67/claim|Median: $102.36
1.5× median
97156Normal range

$226K

2,656 claims · 1.2%

Your Cost: $85.21/claim|Median: $88.65
1.0× median
96116Top 5%

Neurobehavioral status examination, first hour

$175K

509 claims · 0.9%

Your Cost: $344.12/claim|Median: $46.64
7.4× median
97151Top 25%

Behavior identification assessment

$150K

565 claims · 0.8%

Your Cost: $264.62/claim|Median: $161.10
1.6× median
0368TTop 25%

$140K

2,245 claims · 0.7%

Your Cost: $62.29/claim|Median: $44.63
1.4× median
0370TTop 10%

$55K

405 claims · 0.3%

Your Cost: $135.60/claim|Median: $88.49
1.5× median
0359TNormal range

$43K

147 claims · 0.2%

Your Cost: $289.92/claim|Median: $444.44
0.7× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$3K

51 claims · 0.0%

Your Cost: $67.16/claim|Median: $55.95
1.2× 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

← All providersAll providers in Michigan →How we detect fraud →