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Northeast Michigan Community Mental Health Authority

Community/Behavioral Health·Alpena, MI·NPI: 1144378381Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $128.3M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$128.3M

$128,254,379

Total Claims

690K

Beneficiaries

160K

4.3 claims/patient

Avg Cost/Claim

$186

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

🔍 Analysis

Provider Overview

Northeast Michigan Community Mental Health Authority is a Community/Behavioral Health provider based in Alpena, MI. From the 2018–2024 period, this provider received $128.3M in Medicaid payments across 690K claims.

Why This Matters

This provider received $128.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,031 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 11% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.6M
-14%
2019
$16.9M
-9%
2020
$15.4M
+37%
2021
$21.0M
-12%
2022
$18.5M
+4%
2023
$19.4M
-10%
2024
$17.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 17% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$22.4M

134K claims · 17.4%

Your Cost: $166.36/claim|Median: $96.24
1.7× median
T1020Normal range

Personal care services, per diem

$20.8M

137K claims · 16.2%

Your Cost: $152.42/claim|Median: $296.27
0.5× median
H2016Normal range

Comprehensive community support services, per 15 min

$17.2M

137K claims · 13.4%

Your Cost: $126.28/claim|Median: $321.53
0.4× median
T1017Top 10%

Targeted case management, per 15 min

$16.2M

55K claims · 12.6%

Your Cost: $292.30/claim|Median: $69.56
4.2× median
99214Top 1%

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

$6.0M

20K claims · 4.7%

Your Cost: $306.01/claim|Median: $53.41
5.7× median
H2023Top 25%

Supported employment, per 15 min

$5.9M

26K claims · 4.6%

Your Cost: $229.59/claim|Median: $103.94
2.2× median
H0043Normal range

Supported housing, per diem

$5.6M

33K claims · 4.3%

Your Cost: $170.36/claim|Median: $164.87
1.0× median
T1016Top 10%

Case management, each 15 min

$4.3M

15K claims · 3.3%

Your Cost: $281.43/claim|Median: $49.62
5.7× median
S5161Top 1%

Emergency response system, per month

$3.6M

2K claims · 2.8%

Your Cost: $2,120.99/claim|Median: $29.97
70.8× median
H0039Normal range

Assertive community treatment, per diem

$2.8M

21K claims · 2.2%

Your Cost: $133.37/claim|Median: $132.62
1.0× median
H2025Top 10%

Ongoing support to maintain employment, per 15 min

$2.8M

6K claims · 2.2%

Your Cost: $494.06/claim|Median: $100.49
4.9× median
H0032Top 10%

Mental health service plan development

$2.7M

11K claims · 2.1%

Your Cost: $255.59/claim|Median: $80.64
3.2× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$1.9M

2K claims · 1.5%

Your Cost: $897.93/claim|Median: $108.91
8.2× median
99213Top 1%

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

$1.8M

7K claims · 1.4%

Your Cost: $239.44/claim|Median: $37.81
6.3× median
H0036Top 10%

Community psychiatric supportive treatment, per 15 min

$1.8M

7K claims · 1.4%

Your Cost: $252.75/claim|Median: $76.05
3.3× median
H0031Top 10%

Mental health assessment by non-physician

$1.5M

5K claims · 1.2%

Your Cost: $292.37/claim|Median: $96.18
3.0× median
90834Top 10%

Psychotherapy, 45 minutes

$1.4M

10K claims · 1.1%

Your Cost: $133.15/claim|Median: $63.65
2.1× median
T1002Top 10%

RN services, per 15 minutes

$1.3M

5K claims · 1.0%

Your Cost: $260.78/claim|Median: $37.42
7.0× median
90837Top 5%

Psychotherapy, 60 minutes

$1.2M

7K claims · 1.0%

Your Cost: $171.49/claim|Median: $85.66
2.0× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$1.0M

7K claims · 0.8%

Your Cost: $146.20/claim|Median: $55.04
2.7× median
T1023Top 25%

Screening to determine appropriateness of consideration for program

$922K

4K claims · 0.7%

Your Cost: $230.75/claim|Median: $106.70
2.2× median
S0280Top 25%

Medical home program, comprehensive care management

$712K

3K claims · 0.6%

Your Cost: $213.30/claim|Median: $48.38
4.4× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$627K

5K claims · 0.5%

Your Cost: $130.47/claim|Median: $167.38
0.8× median
90791Top 5%

Psychiatric diagnostic evaluation

$587K

2K claims · 0.5%

Your Cost: $297.79/claim|Median: $99.21
3.0× median
0365TTop 25%

Adaptive behavior treatment, each additional thirty minutes

$566K

4K claims · 0.4%

Your Cost: $160.82/claim|Median: $106.05
1.5× median
H2011Normal range

Crisis intervention service, per 15 minutes

$436K

3K claims · 0.3%

Your Cost: $172.56/claim|Median: $215.80
0.8× median
H2030Top 25%

Mental health clubhouse services, per 15 minutes

$347K

3K claims · 0.3%

Your Cost: $107.10/claim|Median: $73.58
1.5× median
99215Top 1%

Office/outpatient visit, high complexity

$298K

757 claims · 0.2%

Your Cost: $393.17/claim|Median: $74.09
5.3× median
99211Top 10%

Office/outpatient visit, minimal complexity

$216K

3K claims · 0.2%

Your Cost: $63.75/claim|Median: $12.93
4.9× median
90832Top 10%

Psychotherapy, 30 minutes

$172K

2K claims · 0.1%

Your Cost: $88.62/claim|Median: $41.28
2.1× median

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