Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY

NPI: 1003878554 · PAW PAW, MI 49079 · Clinical Social Worker · NPI assigned 04/03/2006

$43.47M
Total Medicaid Paid
241,154
Total Claims
126,669
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHESS, DEBRA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date04/03/2006

Related Entities

Other providers sharing the same authorized official: HESS, DEBRA

ProviderCityStateTotal Paid
BANGOR HEALTH CENTER BANGOR MI $178K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42,287 $7.48M
2019 40,640 $7.29M
2020 28,042 $4.70M
2021 29,687 $4.96M
2022 31,156 $5.52M
2023 34,814 $6.89M
2024 34,528 $6.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 35,863 24,360 $11.60M
90834 Psychotherapy, 45 minutes with patient 31,427 21,308 $5.02M
H2015 Comprehensive community support services, per 15 minutes 35,369 5,464 $4.81M
H0039 Assertive community treatment, face-to-face, per 15 minutes 20,709 4,999 $3.41M
90837 Psychotherapy, 53 minutes with patient 5,537 4,118 $1.81M
90791 Psychiatric diagnostic evaluation 5,553 5,495 $1.77M
H0032 Mental health service plan development by non-physician 6,809 6,414 $1.70M
H2030 Mental health clubhouse services, per 15 minutes 12,555 1,704 $1.63M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 5,144 1,195 $1.62M
H2014 Skills training and development, per 15 minutes 8,420 1,351 $1.36M
H2021 Community-based wrap-around services, per 15 minutes 3,013 1,351 $1.25M
T1016 Case management, each 15 minutes 4,745 4,019 $1.14M
H2000 Comprehensive multidisciplinary evaluation 3,602 2,807 $900K
H2023 Supported employment, per 15 minutes 10,137 2,289 $813K
90832 Psychotherapy, 30 minutes with patient 8,248 6,692 $701K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,754 6,576 $654K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 1,448 1,287 $543K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,421 8,327 $528K
T1005 Respite care services, up to 15 minutes 4,922 1,204 $366K
90792 Psychiatric diagnostic evaluation with medical services 1,399 1,391 $354K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 2,825 2,785 $353K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,623 3,717 $307K
90847 Family psychotherapy with the patient present, 50 minutes 1,668 1,272 $302K
90853 Group psychotherapy (other than of a multiple-family group) 4,748 1,837 $161K
H0001 Alcohol and/or drug assessment 859 800 $66K
97530 Therapeutic activities, direct patient contact, each 15 minutes 274 209 $54K
90839 229 188 $43K
S5111 Home care training, family; per session 114 43 $34K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 497 486 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 649 645 $25K
H0038 Self-help/peer services, per 15 minutes 613 353 $18K
96112 30 24 $17K
H0046 Mental health services, not otherwise specified 320 127 $14K
96113 14 12 $11K
96101 15 12 $9K
96137 14 14 $8K
T1001 Nursing assessment / evaluation 30 30 $8K
H2025 Ongoing support to maintain employment, per 15 minutes 279 90 $5K
H2011 Crisis intervention service, per 15 minutes 29 27 $4K
96136 14 14 $1K
99215 Prolong outpt/office vis 13 13 $756.91
T1040 Medicaid certified community behavioral health clinic services, per diem 3,222 1,620 $0.00