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PINE REST CHRISTIAN MENTAL HEALTH SERVICES

Psychiatric Hospital·GRAND RAPIDS, MI·NPI: 1982672762Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$54.8M

$54,797,617

Total Claims

294K

Beneficiaries

195K

1.5 claims/patient

Avg Cost/Claim

$186

Monthly Spending Trend

Yearly Spending

2018
$3.7M
+19%
2019
$4.3M
+59%
2020
$6.9M
+28%
2021
$8.8M
+7%
2022
$9.5M
+17%
2023
$11.0M
-4%
2024
$10.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 31 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 47% of total spending.

H2016Top 25%

Comprehensive community support services, per 15 min

$25.7M

20K claims · 46.9%

Your Cost: $1,311.01/claim|Median: $321.53
4.1× median
H0018Normal range

Behavioral health; short-term residential, per diem

$7.9M

8,564 claims · 14.5%

Your Cost: $926.57/claim|Median: $467.51
2.0× median
T1020Normal range

Personal care services, per diem

$5.2M

19K claims · 9.5%

Your Cost: $267.93/claim|Median: $296.27
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$4.8M

64K claims · 8.7%

Your Cost: $74.91/claim|Median: $85.66
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$3.4M

70K claims · 6.2%

Your Cost: $49.11/claim|Median: $63.65
0.8× median
99214Normal range

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

$3.0M

50K claims · 5.4%

Your Cost: $59.19/claim|Median: $53.41
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$1.1M

11K claims · 2.0%

Your Cost: $97.74/claim|Median: $99.21
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$850K

8,358 claims · 1.6%

Your Cost: $101.70/claim|Median: $108.91
0.9× median
90870Top 1%

$805K

1,409 claims · 1.5%

Your Cost: $571.54/claim|Median: $68.07
8.4× median
S0201Top 25%

Partial hospitalization services, per diem

$495K

938 claims · 0.9%

Your Cost: $528.05/claim|Median: $445.16
1.2× median
99213Normal range

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

$432K

11K claims · 0.8%

Your Cost: $39.08/claim|Median: $37.81
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$307K

8,222 claims · 0.6%

Your Cost: $37.31/claim|Median: $41.28
0.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$219K

4,034 claims · 0.4%

Your Cost: $54.25/claim|Median: $77.33
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$175K

1,958 claims · 0.3%

Your Cost: $89.55/claim|Median: $74.09
1.2× median
S9976Normal range

$122K

1,002 claims · 0.2%

Your Cost: $121.26/claim|Median: $64.43
1.9× median
90853Normal range

Group psychotherapy

$81K

5,797 claims · 0.1%

Your Cost: $13.94/claim|Median: $25.02
0.6× median
96131Normal range

Psychological testing evaluation, each additional hour

$70K

421 claims · 0.1%

Your Cost: $167.35/claim|Median: $133.38
1.3× median
96130Normal range

Psychological testing evaluation by professional, first hour

$28K

461 claims · 0.1%

Your Cost: $60.75/claim|Median: $79.21
0.8× median
G0463Normal range

Hospital outpatient clinic visit

$24K

3,696 claims · 0.0%

Your Cost: $6.44/claim|Median: $26.41
0.2× median
96139Normal range

$21K

432 claims · 0.0%

Your Cost: $49.49/claim|Median: $97.14
0.5× median
80305Normal range

$15K

1,966 claims · 0.0%

Your Cost: $7.59/claim|Median: $7.44
1.0× median
96138Normal range

$9K

469 claims · 0.0%

Your Cost: $18.38/claim|Median: $19.87
0.9× median
81025Normal range

Urine pregnancy test

$5K

953 claims · 0.0%

Your Cost: $5.34/claim|Median: $4.81
1.1× median
T1017Top 25%

Targeted case management, per 15 min

$3K

14 claims · 0.0%

Your Cost: $202.69/claim|Median: $69.56
2.9× median
99212Normal range

Office/outpatient visit, low complexity

$1K

62 claims · 0.0%

Your Cost: $19.55/claim|Median: $25.06
0.8× median
90785Normal range

$1K

175 claims · 0.0%

Your Cost: $6.04/claim|Median: $6.43
0.9× median
G9001Normal range

$1K

27 claims · 0.0%

Your Cost: $39.05/claim|Median: $53.98
0.7× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$1K

38 claims · 0.0%

Your Cost: $26.42/claim|Median: $60.05
0.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$441

14 claims · 0.0%

Your Cost: $31.49/claim|Median: $39.70
0.8× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$186

12 claims · 0.0%

Your Cost: $15.47/claim|Median: $30.49
0.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$44

53 claims · 0.0%

Your Cost: $0.83/claim|Median: $3.67
0.2× median

Other Top Providers in Michigan

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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

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$509.3M

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Louisville, KY

$283.2M

Riverside Hospital INC

Newport News, VA

$136.8M

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