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

Community Mental Health Authority of Clinton Eaton Ingham Counties

Clinic/Center Mental Health (Including Community Mental Health Center)

Lansing, Michigan

NPI: 1265483457

Risk Tier

High

Total Paid

$368.4M

$368,389,282

Total Claims

2.2M

Beneficiaries

753K

Avg Cost/Claim

$167.82

Active billing period: 84 months (2018-01 to 2024-12)

Statistical Fraud Flags (2)

Cost Outlier

Billing over 3× the national median for specific procedure codes.

Bills $309.25 per claim for T1017 (Targeted case management, per 15 min), which is 4.4× the national median of $69.56.

Rate Outlier

Billing above the 90th percentile across multiple procedure codes simultaneously.

Billing above the 90th percentile for 44 procedure codes: T1017 at 4.4× median, H0036 at 4.0× median.

Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.

Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024