Behavioral
Berrien Mental Health Authority
Berrien Mental Health Authority was paid $67.46M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 19% of everything it billed.
33Billing provider infoBERRIEN MENTAL HEALTH AUTHORITY
BENTON HARBOR, MI 49022
BENTON HARBOR, MI 49022
33aNPI1033280763assigned 11/13/2006
33bProvider typeSocial Worker
28Total paid$67.46M
24GClaims381,453
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Social Worker providers in Michigan
Rank by total paid#1 of 142
Median peer was paid$65K
This provider vs. median1,039×
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 | 54,875 | $10.39M | |
| 2019 | 44,400 | $9.01M | |
| 2020 | 42,359 | $7.62M | |
| 2021 | 40,395 | $8.86M | |
| 2022 | 45,784 | $9.73M | |
| 2023 | 58,524 | $11.16M | |
| 2024incomplete | 95,116 | $10.70M |
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 | 19% | 47,567 | 33,784 | $12.84M |
| T1016 | Case management, each 15 minutes | 18% | 26,817 | 22,204 | $12.23M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.7% | 29,162 | 27,986 | $6.51M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 8.3% | 15,704 | 5,162 | $5.59M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 6.7% | 22,949 | 3,665 | $4.50M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.7% | 25,651 | 18,385 | $3.87M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 4.3% | 14,594 | 512 | $2.92M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 13,846 | 13,527 | $2.16M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.8% | 15,819 | 12,876 | $1.91M |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 2.6% | 4,695 | 4,178 | $1.72M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.4% | 4,004 | 3,987 | $1.62M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.2% | 5,976 | 5,903 | $1.45M |
33 more codes
| H0031 | Mental health assessment, by non-physician | 1.8% | 4,866 | $1.20M |
| H2023 | Supported employment, per 15 minutes | 1.6% | 8,379 | $1.09M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 1.4% | 11,103 | $970K |
| T1020 | Help at home with daily living, billed per day | 1.4% | 14,595 | $915K |
| H2000 | Comprehensive multidisciplinary evaluation | 1.3% | 2,443 | $857K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 15,281 | $759K |
| 90832 | Psychotherapy session, about 30 minutes | 1.1% | 8,152 | $737K |
| H0032 | Mental health service plan development by non-physician | 1.1% | 2,713 | $709K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 8,005 | $628K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 4,733 | $453K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,045 | $314K |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | <1% | 634 | $281K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 5,977 | $267K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 1,068 | $247K |
| H0001 | Alcohol and/or drug assessment | <1% | 2,665 | $231K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 2,331 | $163K |
| 96113 | <1% | 355 | $87K | |
| T1002 | Rn services, up to 15 minutes | <1% | 175 | $65K |
| 96112 | <1% | 378 | $48K | |
| S5111 | Home care training, family; per session | <1% | 127 | $37K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 325 | $31K |
| 97168 | <1% | 49 | $12K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 144 | $10K |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 25 | $8K |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | <1% | 1,116 | $7K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 143 | $7K |
| 99442 | <1% | 252 | $6K | |
| 99441 | <1% | 149 | $2K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,166 | $937.50 |
| H0034 | Medication training and support, per 15 minutes | <1% | 15 | $432.00 |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 52,913 | $0.03 |
| 80305 | 0% | 882 | $0.00 | |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 0% | 465 | $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 officialEDLEFSON, ALLEN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Berrien Mental Health Authority | Saint Joseph, MI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.