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County of Muskegon

Clinic/Center, Mental Health (Including Community Mental Health Center)·Muskegon, MI·NPI: 1003914946Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $151.1M is at the 90th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Above 90th percentile for this specialty — higher spending than 39 of 44 peers

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

Total Paid

$151.1M

$151,113,377

Total Claims

714K

Beneficiaries

386K

1.8 claims/patient

Avg Cost/Claim

$212

#711 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

County of Muskegon is a Clinic/Center, Mental Health (Including Community Mental Health Center) provider based in Muskegon, MI. From the 2018–2024 period, this provider received $151.1M in Medicaid payments across 714K claims.

Important Context

  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.

Why This Matters

This provider received $151.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,889 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 16% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$15.7M
+2%
2019
$15.9M
-11%
2020
$14.2M
+34%
2021
$19.0M
+77%
2022
$33.5M
+3%
2023
$34.6M
-47%
2024
$18.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 26% of total spending.

T1040Normal range

Medicaid certified CCBHC services

$39.2M

170K claims · 26.0%

Your Cost: $231.23/claim|Median: $130.29
1.8× median
T1017Top 25%

Targeted case management, per 15 min

$22.8M

88K claims · 15.1%

Your Cost: $259.11/claim|Median: $69.56
3.7× median
H0036Top 1%

Community psychiatric supportive treatment, per 15 min

$13.4M

21K claims · 8.9%

Your Cost: $626.50/claim|Median: $76.05
8.2× median
H0031Top 5%

Mental health assessment by non-physician

$9.0M

27K claims · 5.9%

Your Cost: $327.38/claim|Median: $96.18
3.4× median
T1016Top 25%

Case management, each 15 min

$8.3M

44K claims · 5.5%

Your Cost: $186.64/claim|Median: $49.62
3.8× median
H0032Top 10%

Mental health service plan development

$5.7M

23K claims · 3.8%

Your Cost: $250.50/claim|Median: $80.64
3.1× median
H0018Normal range

Behavioral health; short-term residential, per diem

$5.0M

9K claims · 3.3%

Your Cost: $535.94/claim|Median: $467.51
1.1× median
H2030Top 10%

Mental health clubhouse services, per 15 minutes

$4.8M

29K claims · 3.2%

Your Cost: $164.65/claim|Median: $73.58
2.2× median
90837Top 5%

Psychotherapy, 60 minutes

$4.1M

25K claims · 2.7%

Your Cost: $167.81/claim|Median: $85.66
2.0× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$4.0M

24K claims · 2.6%

Your Cost: $164.21/claim|Median: $167.38
1.0× median
H0039Top 25%

Assertive community treatment, per diem

$4.0M

15K claims · 2.6%

Your Cost: $271.20/claim|Median: $132.62
2.0× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$3.1M

12K claims · 2.0%

Your Cost: $250.69/claim|Median: $55.04
4.5× median
H2023Top 10%

Supported employment, per 15 min

$2.9M

10K claims · 1.9%

Your Cost: $275.66/claim|Median: $103.94
2.6× median
T1002Top 25%

RN services, per 15 minutes

$2.8M

15K claims · 1.9%

Your Cost: $193.31/claim|Median: $37.42
5.2× median
99213Top 5%

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

$1.8M

15K claims · 1.2%

Your Cost: $122.96/claim|Median: $37.81
3.3× median
90834Top 10%

Psychotherapy, 45 minutes

$1.8M

16K claims · 1.2%

Your Cost: $110.71/claim|Median: $63.65
1.7× median
H0002Top 10%

Behavioral health screening

$1.7M

10K claims · 1.2%

Your Cost: $170.14/claim|Median: $38.77
4.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.6M

4K claims · 1.1%

Your Cost: $392.20/claim|Median: $215.80
1.8× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$1.4M

9K claims · 0.9%

Your Cost: $159.26/claim|Median: $106.70
1.5× median
99214Top 5%

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

$1.4M

9K claims · 0.9%

Your Cost: $155.74/claim|Median: $53.41
2.9× median
S5111Normal range

Home care training, family member, per session

$1.0M

8K claims · 0.7%

Your Cost: $131.63/claim|Median: $87.13
1.5× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$916K

8K claims · 0.6%

Your Cost: $122.08/claim|Median: $146.45
0.8× median
90832Top 25%

Psychotherapy, 30 minutes

$882K

11K claims · 0.6%

Your Cost: $77.37/claim|Median: $41.28
1.9× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$875K

3K claims · 0.6%

Your Cost: $302.10/claim|Median: $108.91
2.8× median
99215Top 10%

Office/outpatient visit, high complexity

$873K

5K claims · 0.6%

Your Cost: $168.80/claim|Median: $74.09
2.3× median
H2015Normal range

Comprehensive community support services, per 15 min

$856K

18K claims · 0.6%

Your Cost: $46.94/claim|Median: $96.24
0.5× median
H2021Normal range

Community-based wrap-around services, per 15 min

$695K

3K claims · 0.5%

Your Cost: $204.67/claim|Median: $169.11
1.2× median
90791Top 5%

Psychiatric diagnostic evaluation

$604K

3K claims · 0.4%

Your Cost: $223.58/claim|Median: $99.21
2.3× median
90853Top 10%

Group psychotherapy

$593K

9K claims · 0.4%

Your Cost: $68.44/claim|Median: $25.02
2.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$526K

21K claims · 0.3%

Your Cost: $25.37/claim|Median: $9.56
2.6× median

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$195.1M

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