Clinic
Mental Health Cooperative, INC
Mental Health Cooperative, INC was paid $363.79M by Medicaid between Jan 2018 and Nov 2024, across 58 billing codes. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 67% of everything it billed.
33Billing provider infoMENTAL HEALTH COOPERATIVE, INC
NASHVILLE, TN 37228
NASHVILLE, TN 37228
33aNPI1083632897assigned 07/18/2006
28Total paid$363.79M
24GClaims5,654,118
24DCodes billed58
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Tennessee
Rank by total paid#1 of 39
Median peer was paid$389K
This provider vs. median936×
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 | 802,923 | $45.91M | |
| 2019 | 724,716 | $41.72M | |
| 2020 | 739,858 | $48.51M | |
| 2021 | 723,971 | $50.60M | |
| 2022 | 908,738 | $64.11M | |
| 2023 | 1,014,561 | $64.41M | |
| 2024incomplete | 739,351 | $48.53M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 67% | 1,382,825 | 1,146,451 | $243.88M |
| T2023 | Targeted case management; per month | 15% | 1,029,729 | 838,762 | $55.72M |
| H0043 | Supported housing, per diem | 3.5% | 58,319 | 5,210 | $12.69M |
| H0037 | Community psychiatric supportive treatment program, per diem | 3.2% | 179,133 | 49,612 | $11.66M |
| T2022 | Case management, per month | 2.4% | 22,398 | 21,064 | $8.59M |
| 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 | 1.6% | 194,583 | 153,109 | $5.85M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.5% | 114,093 | 79,504 | $5.36M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.3% | 60,828 | 45,958 | $4.68M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | <1% | 27,677 | 4,074 | $3.46M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 9,220 | 2,775 | $3.01M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 52,989 | 36,774 | $1.79M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 95,871 | 81,749 | $1.58M |
46 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 35,047 | $1.54M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 19,230 | $1.13M |
| H0033 | Oral medication administration, direct observation | <1% | 3,930 | $604K |
| 90837 | Psychotherapy session, about an hour | <1% | 8,089 | $506K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | <1% | 2,354 | $484K |
| 96160 | <1% | 27,605 | $257K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 12,879 | $179K |
| H0045 | Respite care services, not in the home, per diem | <1% | 593 | $171K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 2,400 | $132K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | <1% | 579 | $130K |
| H0049 | Alcohol and/or drug screening | <1% | 4,453 | $77K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,696 | $59K |
| 90839 | <1% | 90 | $58K | |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 189 | $50K |
| G0378 | Hospital observation service, per hour | <1% | 306 | $46K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 2,863 | $37K |
| S9482 | Family stabilization services, per 15 minutes | <1% | 4,757 | $27K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,923 | $19K |
| S5151 | Unskilled respite care, not hospice; per diem | <1% | 12 | $5K |
| 96156 | <1% | 96 | $5K | |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 29 | $3K |
| T1027 | Family training and counseling for child development, per 15 minutes | <1% | 172 | $3K |
| 96158 | <1% | 92 | $2K | |
| 90686 | <1% | 20 | $210.12 | |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | <1% | 300,468 | $176.75 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $149.16 |
| 80305 | <1% | 1,718 | $30.36 | |
| 99407 | <1% | 17 | $13.10 | |
| 3008F | <1% | 182,594 | $2.07 | |
| 3078F | <1% | 115,336 | $1.10 | |
| 3074F | <1% | 128,577 | $1.01 | |
| 3080F | <1% | 8,500 | $0.41 | |
| 3077F | <1% | 8,199 | $0.25 | |
| 3079F | <1% | 30,048 | $0.16 | |
| 3075F | <1% | 14,503 | $0.15 | |
| G9004 | Coordinated care fee, risk adjusted low, initial | <1% | 380,330 | $0.03 |
| G9005 | Coordinated care fee, risk adjusted maintenance | <1% | 993,753 | $0.03 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | <1% | 11,369 | $0.01 |
| 3050F | 0% | 17 | $0.00 | |
| S9485 | Crisis intervention mental health services, per diem | 0% | 28 | $0.00 |
| 81025 | 0% | 31 | $0.00 | |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 3,351 | $0.00 |
| G9006 | Coordinated care fee, home monitoring | 0% | 111,000 | $0.00 |
| 3044F | 0% | 110 | $0.00 | |
| 3049F | 0% | 31 | $0.00 | |
| 3048F | 0% | 57 | $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 officialWILLIAMS, CHERELLE (DIRECTOR, COMPLIANCE)