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St Clair County Community Mental Health Authority

Community/Behavioral Health·Port Huron, MI·NPI: 1689783672Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $157.2M is at the 75th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$157.2M

$157,175,590

Total Claims

1.1M

Beneficiaries

513K

2.1 claims/patient

Avg Cost/Claim

$144

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

🔍 Analysis

Provider Overview

St Clair County Community Mental Health Authority is a Community/Behavioral Health provider based in Port Huron, MI. From the 2018–2024 period, this provider received $157.2M in Medicaid payments across 1.1M 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 $157.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,646 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 52% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.2M
-1%
2019
$18.9M
-29%
2020
$13.5M
+30%
2021
$17.5M
+56%
2022
$27.4M
+15%
2023
$31.6M
-8%
2024
$29.0M

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.

H2015Top 25%

Comprehensive community support services, per 15 min

$27.2M

110K claims · 17.3%

Your Cost: $247.67/claim|Median: $96.24
2.6× median
T1017Top 25%

Targeted case management, per 15 min

$25.1M

145K claims · 16.0%

Your Cost: $173.48/claim|Median: $69.56
2.5× median
90837Top 5%

Psychotherapy, 60 minutes

$13.5M

56K claims · 8.6%

Your Cost: $242.62/claim|Median: $85.66
2.8× median
T1016Top 25%

Case management, each 15 min

$7.0M

74K claims · 4.4%

Your Cost: $93.55/claim|Median: $49.62
1.9× median
90834Top 5%

Psychotherapy, 45 minutes

$6.3M

38K claims · 4.0%

Your Cost: $164.49/claim|Median: $63.65
2.6× median
99214Top 1%

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

$6.0M

23K claims · 3.8%

Your Cost: $259.26/claim|Median: $53.41
4.8× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$5.9M

35K claims · 3.8%

Your Cost: $170.41/claim|Median: $55.04
3.1× median
99213Top 1%

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

$5.1M

28K claims · 3.3%

Your Cost: $183.54/claim|Median: $37.81
4.8× median
H0039Normal range

Assertive community treatment, per diem

$4.1M

43K claims · 2.6%

Your Cost: $95.20/claim|Median: $132.62
0.7× median
H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$4.0M

26K claims · 2.5%

Your Cost: $150.33/claim|Median: $76.05
2.0× median
90791Top 1%

Psychiatric diagnostic evaluation

$3.7M

9K claims · 2.3%

Your Cost: $422.35/claim|Median: $99.21
4.3× median
H2014Top 25%

Skills training & development, per 15 min

$3.5M

15K claims · 2.2%

Your Cost: $238.23/claim|Median: $83.88
2.8× median
H0031Top 5%

Mental health assessment by non-physician

$3.4M

7K claims · 2.2%

Your Cost: $485.04/claim|Median: $96.18
5.0× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$3.4M

6K claims · 2.1%

Your Cost: $612.37/claim|Median: $108.91
5.6× median
T1002Top 25%

RN services, per 15 minutes

$3.3M

32K claims · 2.1%

Your Cost: $103.63/claim|Median: $37.42
2.8× median
H2023Top 25%

Supported employment, per 15 min

$3.2M

15K claims · 2.0%

Your Cost: $210.91/claim|Median: $103.94
2.0× median
90853Top 5%

Group psychotherapy

$2.9M

20K claims · 1.9%

Your Cost: $150.52/claim|Median: $25.02
6.0× median
T1023Top 1%

Screening to determine appropriateness of consideration for program

$2.9M

3K claims · 1.8%

Your Cost: $1,065.27/claim|Median: $106.70
10.0× median
H2030Top 25%

Mental health clubhouse services, per 15 minutes

$2.8M

27K claims · 1.8%

Your Cost: $106.57/claim|Median: $73.58
1.4× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$2.7M

20K claims · 1.7%

Your Cost: $135.42/claim|Median: $9.56
14.2× median
H0032Top 10%

Mental health service plan development

$2.6M

11K claims · 1.6%

Your Cost: $228.65/claim|Median: $80.64
2.8× median
97153Top 10%

Adaptive behavior treatment by protocol, per 15 min

$2.4M

6K claims · 1.6%

Your Cost: $378.53/claim|Median: $167.38
2.3× median
99215Top 5%

Office/outpatient visit, high complexity

$2.4M

6K claims · 1.5%

Your Cost: $365.13/claim|Median: $74.09
4.9× median
90832Top 10%

Psychotherapy, 30 minutes

$2.2M

21K claims · 1.4%

Your Cost: $107.27/claim|Median: $41.28
2.6× median
90847Top 5%

Family psychotherapy with patient, 50 min

$2.0M

9K claims · 1.3%

Your Cost: $212.57/claim|Median: $77.33
2.8× median
S5111Top 25%

Home care training, family member, per session

$1.8M

10K claims · 1.1%

Your Cost: $186.74/claim|Median: $87.13
2.1× median
H2021Top 25%

Community-based wrap-around services, per 15 min

$1.2M

4K claims · 0.8%

Your Cost: $341.80/claim|Median: $169.11
2.0× median
0365TTop 5%

Adaptive behavior treatment, each additional thirty minutes

$1.2M

4K claims · 0.8%

Your Cost: $285.15/claim|Median: $106.05
2.7× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$1.2M

6K claims · 0.7%

Your Cost: $204.62/claim|Median: $84.12
2.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.1M

2K claims · 0.7%

Your Cost: $467.35/claim|Median: $215.80
2.2× median

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