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Genesee Health System

Community/Behavioral Health·Flint, MI·NPI: 1043554348Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $159.9M is at the 75th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$159.9M

$159,875,732

Total Claims

865K

Beneficiaries

406K

2.1 claims/patient

Avg Cost/Claim

$185

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

🔍 Analysis

Provider Overview

Genesee Health System is a Community/Behavioral Health provider based in Flint, MI. From the 2018–2024 period, this provider received $159.9M in Medicaid payments across 865K claims.

Why This Matters

This provider received $159.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,984 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 25% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$29.6M
-15%
2019
$25.1M
-30%
2020
$17.5M
+12%
2021
$19.6M
+8%
2022
$21.2M
+16%
2023
$24.5M
-9%
2024
$22.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 24% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$38.9M

178K claims · 24.3%

Your Cost: $218.78/claim|Median: $69.56
3.1× median
99214Top 1%

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

$14.2M

49K claims · 8.9%

Your Cost: $290.83/claim|Median: $53.41
5.5× median
H0032Top 5%

Mental health service plan development

$11.0M

37K claims · 6.9%

Your Cost: $301.50/claim|Median: $80.64
3.7× median
T1016Top 25%

Case management, each 15 min

$10.6M

61K claims · 6.6%

Your Cost: $175.26/claim|Median: $49.62
3.5× median
H0036Top 10%

Community psychiatric supportive treatment, per 15 min

$7.1M

26K claims · 4.5%

Your Cost: $275.79/claim|Median: $76.05
3.6× median
H0039Top 25%

Assertive community treatment, per diem

$6.1M

26K claims · 3.8%

Your Cost: $236.32/claim|Median: $132.62
1.8× median
H2021Top 10%

Community-based wrap-around services, per 15 min

$5.3M

8K claims · 3.3%

Your Cost: $698.99/claim|Median: $169.11
4.1× median
H2014Normal range

Skills training & development, per 15 min

$5.3M

54K claims · 3.3%

Your Cost: $97.71/claim|Median: $83.88
1.2× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$5.0M

73K claims · 3.2%

Your Cost: $68.72/claim|Median: $167.38
0.4× median
90791Top 1%

Psychiatric diagnostic evaluation

$4.9M

11K claims · 3.1%

Your Cost: $452.08/claim|Median: $99.21
4.6× median
H0031Top 5%

Mental health assessment by non-physician

$4.3M

11K claims · 2.7%

Your Cost: $396.73/claim|Median: $96.18
4.1× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$3.6M

5K claims · 2.2%

Your Cost: $750.44/claim|Median: $108.91
6.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$3.3M

26K claims · 2.1%

Your Cost: $125.76/claim|Median: $9.56
13.2× median
90837Top 1%

Psychotherapy, 60 minutes

$3.0M

9K claims · 1.9%

Your Cost: $340.56/claim|Median: $85.66
4.0× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$3.0M

10K claims · 1.9%

Your Cost: $305.69/claim|Median: $55.04
5.5× median
S5111Top 5%

Home care training, family member, per session

$2.9M

9K claims · 1.8%

Your Cost: $332.27/claim|Median: $87.13
3.8× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$2.8M

9K claims · 1.8%

Your Cost: $300.37/claim|Median: $84.12
3.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$2.6M

9K claims · 1.6%

Your Cost: $291.27/claim|Median: $215.80
1.4× median
99213Top 1%

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

$2.5M

11K claims · 1.5%

Your Cost: $232.92/claim|Median: $37.81
6.2× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$2.4M

29K claims · 1.5%

Your Cost: $82.55/claim|Median: $73.58
1.1× median
97151Top 1%

Behavior identification assessment

$2.1M

928 claims · 1.3%

Your Cost: $2,243.01/claim|Median: $161.10
13.9× median
T1002Top 25%

RN services, per 15 minutes

$1.9M

10K claims · 1.2%

Your Cost: $198.71/claim|Median: $37.42
5.3× median
H2022Normal range

Community-based wrap-around services, per diem

$1.9M

3K claims · 1.2%

Your Cost: $600.55/claim|Median: $336.31
1.8× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$1.8M

20K claims · 1.1%

Your Cost: $91.71/claim|Median: $106.05
0.9× median
T1040Normal range

Medicaid certified CCBHC services

$1.7M

65K claims · 1.1%

Your Cost: $26.25/claim|Median: $130.29
0.2× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.6M

15K claims · 1.0%

Your Cost: $108.91/claim|Median: $146.45
0.7× median
90834Top 5%

Psychotherapy, 45 minutes

$1.2M

5K claims · 0.8%

Your Cost: $252.72/claim|Median: $63.65
4.0× median
90785Top 1%

$949K

1K claims · 0.6%

Your Cost: $678.62/claim|Median: $6.43
105.5× median
90847Top 1%

Family psychotherapy with patient, 50 min

$852K

2K claims · 0.5%

Your Cost: $423.17/claim|Median: $77.33
5.5× median
90832Top 5%

Psychotherapy, 30 minutes

$821K

4K claims · 0.5%

Your Cost: $196.57/claim|Median: $41.28
4.8× median

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