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Northern Lakes Community Mental Health Authority

Occupational Therapist·Traverse City, MI·NPI: 1518068071Share

Compared to Occupational Therapist Peers

Total spending distribution among 7 providers in this specialty

P25MedianP75P90

This provider's total spending of $148.6M is at the 99th percentile among 7 Occupational Therapist providers.

Above 99th percentile for this specialty — higher spending than 6 of 7 peers

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

Total Paid

$148.6M

$148,647,272

Total Claims

685K

Beneficiaries

285K

2.4 claims/patient

Avg Cost/Claim

$217

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

🔍 Analysis

Provider Overview

Northern Lakes Community Mental Health Authority is a Occupational Therapist provider based in Traverse City, MI. From the 2018–2024 period, this provider received $148.6M in Medicaid payments across 685K claims.

Why This Matters

This provider received $148.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,580 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 0% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.6M
+2%
2019
$20.0M
+3%
2020
$20.5M
+14%
2021
$23.3M
+0%
2022
$23.3M
-4%
2023
$22.3M
-12%
2024
$19.7M

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 15% of total spending.

T1017Top 25%

Targeted case management, per 15 min

$21.9M

103K claims · 14.7%

Your Cost: $211.99/claim|Median: $69.56
3.0× median
H2016Normal range

Comprehensive community support services, per 15 min

$18.5M

80K claims · 12.4%

Your Cost: $230.71/claim|Median: $321.53
0.7× median
T1020Normal range

Personal care services, per diem

$13.0M

80K claims · 8.7%

Your Cost: $162.34/claim|Median: $296.27
0.6× median
H0039Normal range

Assertive community treatment, per diem

$10.5M

51K claims · 7.1%

Your Cost: $206.27/claim|Median: $132.62
1.6× median
T2022Top 5%

Case management, per month

$9.5M

18K claims · 6.4%

Your Cost: $525.00/claim|Median: $202.77
2.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$7.4M

23K claims · 5.0%

Your Cost: $321.35/claim|Median: $215.80
1.5× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$7.0M

21K claims · 4.7%

Your Cost: $324.33/claim|Median: $76.05
4.3× median
T1023Top 5%

Screening to determine appropriateness of consideration for program

$6.9M

13K claims · 4.6%

Your Cost: $542.64/claim|Median: $106.70
5.1× median
99214Top 1%

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

$6.5M

28K claims · 4.4%

Your Cost: $233.42/claim|Median: $53.41
4.4× median
H0032Top 5%

Mental health service plan development

$5.5M

15K claims · 3.7%

Your Cost: $373.62/claim|Median: $80.64
4.6× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$5.4M

79K claims · 3.7%

Your Cost: $68.92/claim|Median: $73.58
0.9× median
90847Top 10%

Family psychotherapy with patient, 50 min

$4.1M

24K claims · 2.7%

Your Cost: $172.26/claim|Median: $77.33
2.2× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$3.2M

10K claims · 2.1%

Your Cost: $307.43/claim|Median: $9.56
32.2× median
H0031Top 5%

Mental health assessment by non-physician

$3.0M

6K claims · 2.0%

Your Cost: $471.50/claim|Median: $96.18
4.9× median
90837Top 5%

Psychotherapy, 60 minutes

$2.9M

12K claims · 1.9%

Your Cost: $246.67/claim|Median: $85.66
2.9× median
90791Top 1%

Psychiatric diagnostic evaluation

$2.6M

6K claims · 1.8%

Your Cost: $448.01/claim|Median: $99.21
4.5× median
T1016Top 25%

Case management, each 15 min

$2.4M

12K claims · 1.6%

Your Cost: $196.89/claim|Median: $49.62
4.0× median
90834Top 10%

Psychotherapy, 45 minutes

$2.4M

18K claims · 1.6%

Your Cost: $131.45/claim|Median: $63.65
2.1× median
S0280Top 25%

Medical home program, comprehensive care management

$2.1M

9K claims · 1.4%

Your Cost: $222.89/claim|Median: $48.38
4.6× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$1.5M

8K claims · 1.0%

Your Cost: $180.09/claim|Median: $55.04
3.3× median
H2000Top 10%

Comprehensive multidisciplinary evaluation

$1.5M

4K claims · 1.0%

Your Cost: $358.56/claim|Median: $114.71
3.1× median
T1001Top 5%

Nursing assessment/evaluation, per visit

$1.4M

4K claims · 0.9%

Your Cost: $333.24/claim|Median: $49.05
6.8× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$1.2M

2K claims · 0.8%

Your Cost: $552.68/claim|Median: $108.91
5.1× median
S5111Top 10%

Home care training, family member, per session

$1.1M

5K claims · 0.7%

Your Cost: $225.14/claim|Median: $87.13
2.6× median
T1002Top 10%

RN services, per 15 minutes

$1.0M

4K claims · 0.7%

Your Cost: $241.36/claim|Median: $37.42
6.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$920K

14K claims · 0.6%

Your Cost: $67.18/claim|Median: $96.24
0.7× median
90832Top 10%

Psychotherapy, 30 minutes

$895K

8K claims · 0.6%

Your Cost: $117.51/claim|Median: $41.28
2.9× median
90853Top 5%

Group psychotherapy

$890K

5K claims · 0.6%

Your Cost: $190.73/claim|Median: $25.02
7.6× median
S9482Normal range

Family stabilization services, per 15 minutes

$818K

3K claims · 0.6%

Your Cost: $318.39/claim|Median: $625.59
0.5× median
H2021Normal range

Community-based wrap-around services, per 15 min

$799K

2K claims · 0.5%

Your Cost: $331.35/claim|Median: $169.11
2.0× median

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