Northeast Michigan Community Mental Health Authority
Northeast Michigan Community Mental Health Authority was paid $128.25M by Medicaid between Jan 2018 and Nov 2024, across 52 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 17% of everything it billed.
ALPENA, MI 49707
Next to other Community/Behavioral Health Agency providers in Michigan
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 119,666 | $19.58M | |
| 2019 | 105,499 | $16.92M | |
| 2020 | 96,066 | $15.36M | |
| 2021 | 97,840 | $21.03M | |
| 2022 | 92,946 | $18.55M | |
| 2023 | 94,303 | $19.35M | |
| 2024incomplete | 83,493 | $17.47M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 17% | 134,372 | 14,808 | $22.35M |
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 16% | 136,713 | 4,619 | $20.84M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 13% | 136,540 | 4,613 | $17.24M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 13% | 55,430 | 30,460 | $16.20M |
| 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 | 4.7% | 19,735 | 18,461 | $6.04M |
| H2023 | Supported employment, per 15 minutes | 4.6% | 25,777 | 5,550 | $5.92M |
| H0043 | Supported housing, per diem | 4.3% | 32,692 | 1,325 | $5.57M |
| T1016 | Case management, each 15 minutes | 3.3% | 15,252 | 9,914 | $4.29M |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 2.8% | 1,717 | 1,711 | $3.64M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 2.2% | 21,180 | 2,043 | $2.82M |
| H2025 | Ongoing support to maintain employment, per 15 minutes | 2.2% | 5,678 | 692 | $2.81M |
| H0032 | Mental health service plan development by non-physician | 2.1% | 10,550 | 9,413 | $2.70M |
40 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.5% | 2,160 | $1.94M |
| 99213 | Doctor's office visit, returning patient (routine) | 1.4% | 7,434 | $1.78M |
| H0036 | Community psychiatric support and treatment, per 15 minutes | 1.4% | 6,991 | $1.77M |
| H0031 | Mental health assessment, by non-physician | 1.2% | 5,167 | $1.51M |
| 90834 | Psychotherapy session, about 45 minutes | 1.1% | 10,311 | $1.37M |
| T1002 | Rn services, up to 15 minutes | <1% | 4,868 | $1.27M |
| 90837 | Psychotherapy session, about an hour | <1% | 7,279 | $1.25M |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 7,159 | $1.05M |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 3,995 | $922K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 3,337 | $712K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutes | <1% | 4,807 | $627K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,971 | $587K |
| 0365T | <1% | 3,520 | $566K | |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 2,525 | $436K |
| H2030 | Mental health clubhouse services, per 15 minutes | <1% | 3,242 | $347K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 757 | $298K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,396 | $216K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,936 | $172K |
| 0364T | <1% | 3,478 | $144K | |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 562 | $112K |
| T1005 | Respite care services, up to 15 minutes | <1% | 1,871 | $105K |
| Q3014 | Telehealth originating site facility fee | <1% | 2,645 | $104K |
| 97803 | <1% | 741 | $100K | |
| S5111 | Home care training, family; per session | <1% | 439 | $82K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 312 | $82K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 962 | $52K |
| H2014 | Skills training and development, per 15 minutes | <1% | 204 | $44K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 651 | $43K |
| T1001 | Nursing assessment / evaluation | <1% | 161 | $43K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 107 | $34K |
| 97156 | <1% | 181 | $14K | |
| 97542 | <1% | 118 | $12K | |
| 0367T | <1% | 121 | $11K | |
| 97168 | <1% | 12 | $8K | |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 444 | $6K |
| S9470 | Nutritional counseling, dietitian visit | <1% | 35 | $5K |
| 97154 | <1% | 93 | $4K | |
| 0368T | <1% | 35 | $3K | |
| 0369T | <1% | 26 | $3K | |
| 0366T | <1% | 124 | $3K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.