Behavioral
Van Buren Community Mental Health Authority
Van Buren Community Mental Health Authority was paid $43.47M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 27% of everything it billed.
33Billing provider infoVAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
PAW PAW, MI 49079
PAW PAW, MI 49079
33aNPI1003878554assigned 04/03/2006
33bProvider typeClinical Social Worker
28Total paid$43.47M
24GClaims241,154
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Social Worker providers in Michigan
Rank by total paid#5 of 411
Median peer was paid$49K
This provider vs. median888×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 34,528 | $6.62M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 27% | 35,863 | 24,360 | $11.60M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 31,427 | 21,308 | $5.02M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 11% | 35,369 | 5,464 | $4.81M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 7.9% | 20,709 | 4,999 | $3.41M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.2% | 5,537 | 4,118 | $1.81M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.1% | 5,553 | 5,495 | $1.77M |
| H0032 | Mental health service plan development by non-physician | 3.9% | 6,809 | 6,414 | $1.70M |
| H2030 | Mental health clubhouse services, per 15 minutes | 3.8% | 12,555 | 1,704 | $1.63M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 3.7% | 5,144 | 1,195 | $1.62M |
| H2014 | Skills training and development, per 15 minutes | 3.1% | 8,420 | 1,351 | $1.36M |
| H2021 | Community-based wrap-around services, per 15 minutes | 2.9% | 3,013 | 1,351 | $1.25M |
| T1016 | Case management, each 15 minutes | 2.6% | 4,745 | 4,019 | $1.14M |
30 more codes
| H2000 | Comprehensive multidisciplinary evaluation | 2.1% | 3,602 | $900K |
| H2023 | Supported employment, per 15 minutes | 1.9% | 10,137 | $813K |
| 90832 | Psychotherapy session, about 30 minutes | 1.6% | 8,248 | $701K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.5% | 6,754 | $654K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 1.2% | 1,448 | $543K |
| 99213 | Doctor's office visit, returning patient (routine) | 1.2% | 8,421 | $528K |
| T1005 | Respite care services, up to 15 minutes | <1% | 4,922 | $366K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,399 | $354K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 2,825 | $353K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,623 | $307K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,668 | $302K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 4,748 | $161K |
| H0001 | Alcohol and/or drug assessment | <1% | 859 | $66K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 274 | $54K |
| 90839 | <1% | 229 | $43K | |
| S5111 | Home care training, family; per session | <1% | 114 | $34K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 497 | $32K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 649 | $25K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 613 | $18K |
| 96112 | <1% | 30 | $17K | |
| H0046 | Mental health services, not otherwise specified | <1% | 320 | $14K |
| 96113 | <1% | 14 | $11K | |
| 96101 | <1% | 15 | $9K | |
| 96137 | <1% | 14 | $8K | |
| T1001 | Nursing assessment / evaluation | <1% | 30 | $8K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | <1% | 279 | $5K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 29 | $4K |
| 96136 | <1% | 14 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $756.91 |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 0% | 3,222 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHESS, DEBRA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Bangor Health Center | Bangor, MI | $178K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.