Medicaid Provider Spending

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

NORTHEAST MICHIGAN COMMUNITY MENTAL HEALTH AUTHORITY

NPI: 1144378381 · ALPENA, MI 49707 · Community/Behavioral Health Agency · NPI assigned 01/06/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WHITE, CHARLES controls 19+ related entities in our dataset. Read more

$128.25M
Total Medicaid Paid
689,813
Total Claims
160,267
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWHITE, CHARLES (EXECUTIVE DIRECTOR)
NPI Enumeration Date01/06/2007

Related Entities

Other providers sharing the same authorized official: WHITE, CHARLES

ProviderCityStateTotal Paid
FRANKLIN PRIMARY HEALTH CENTER INC. MOBILE AL $26.73M
UNIVERSITY OF MARYLAND DIAGNOSTIC IMAGING SPECIALISTS P A BALTIMORE MD $10.62M
MEDICAL ARTS PHARMACY INC HENDERSON NC $1.43M
UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC GLEN BURNIE MD $547K
PROFESSIONAL PEDIATRICS PA MONTGOMERY AL $508K
UNIVERSITY IMAGING CENTER, LLC BALTIMORE MD $146K
UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC LA PLATA MD $2K
FRANKLIN PRIMARY HEALTH CENTER, INC MOBILE AL $0.00
FRANKLIN PRIMARY HEALTH CENTER, INC. PRICHARD AL $0.00
FRANKLIN PRIMARY HEALTH CENTER, INC MOBILE AL $0.00
FRANKLIN PRIMARY HEALTH CENTER, INC MOBILE AL $0.00
FRANKLIN PRIMARY HEALTH CENTER, INC MOBILE AL $0.00
FRANKLIN PRIMARY HEALTH CENTER, INC BAY MINETTE AL $0.00
FRANKLIN PRIMARY HEALTH CENTER, INC PRICHARD AL $0.00
FRANKLIN PRIMARY HEALTH CENTER, INC FRISCO CITY AL $0.00
FRANKLIN PRIMARY HEALTH CENTER, INC. GILBERTOWN AL $0.00
FRANKLIN PRIMARY HEALTH CENTER, INC EVERGREEN AL $0.00
FRANKLIN PRIMARY HEALTH CENTER INC. MOBILE AL $0.00
FRANKLIN PRIMARY HEALTH CENTER, INC. LOXLEY AL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 83,493 $17.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2015 Comprehensive community support services, per 15 minutes 134,372 14,808 $22.35M
T1020 Personal 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) 136,713 4,619 $20.84M
H2016 Comprehensive community support services, per diem 136,540 4,613 $17.24M
T1017 Targeted case management, each 15 minutes 55,430 30,460 $16.20M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,735 18,461 $6.04M
H2023 Supported employment, per 15 minutes 25,777 5,550 $5.92M
H0043 Supported housing, per diem 32,692 1,325 $5.57M
T1016 Case management, each 15 minutes 15,252 9,914 $4.29M
S5161 Emergency response system; service fee, per month (excludes installation and testing) 1,717 1,711 $3.64M
H0039 Assertive community treatment, face-to-face, per 15 minutes 21,180 2,043 $2.82M
H2025 Ongoing support to maintain employment, per 15 minutes 5,678 692 $2.81M
H0032 Mental health service plan development by non-physician 10,550 9,413 $2.70M
90792 Psychiatric diagnostic evaluation with medical services 2,160 2,115 $1.94M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,434 7,124 $1.78M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 6,991 2,414 $1.77M
H0031 Mental health assessment, by non-physician 5,167 5,060 $1.51M
90834 Psychotherapy, 45 minutes with patient 10,311 7,208 $1.37M
T1002 Rn services, up to 15 minutes 4,868 3,992 $1.27M
90837 Psychotherapy, 53 minutes with patient 7,279 5,055 $1.25M
H0038 Self-help/peer services, per 15 minutes 7,159 2,474 $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 3,995 3,162 $922K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 3,337 1,885 $712K
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 4,807 314 $627K
90791 Psychiatric diagnostic evaluation 1,971 1,957 $587K
0365T 3,520 222 $566K
H2011 Crisis intervention service, per 15 minutes 2,525 2,254 $436K
H2030 Mental health clubhouse services, per 15 minutes 3,242 394 $347K
99215 Prolong outpt/office vis 757 680 $298K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,396 2,495 $216K
90832 Psychotherapy, 30 minutes with patient 1,936 1,561 $172K
0364T 3,478 222 $144K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 562 166 $112K
T1005 Respite care services, up to 15 minutes 1,871 244 $105K
Q3014 Telehealth originating site facility fee 2,645 2,467 $104K
97803 741 660 $100K
S5111 Home care training, family; per session 439 251 $82K
H2000 Comprehensive multidisciplinary evaluation 312 239 $82K
97535 Self-care/home management training, each 15 minutes 962 756 $52K
H2014 Skills training and development, per 15 minutes 204 90 $44K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 651 472 $43K
T1001 Nursing assessment / evaluation 161 161 $43K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 107 104 $34K
97156 181 59 $14K
97542 118 93 $12K
0367T 121 27 $11K
97168 12 12 $8K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 444 159 $6K
S9470 Nutritional counseling, dietitian visit 35 34 $5K
97154 93 25 $4K
0368T 35 12 $3K
0369T 26 12 $3K
0366T 124 27 $3K