Agency
Northern Michigan Substance Abuse Services, INC.
Northern Michigan Substance Abuse Services, INC. was paid $9.73M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 52% of everything it billed.
33Billing provider infoNORTHERN MICHIGAN SUBSTANCE ABUSE SERVICES, INC.
GAYLORD, MI 49735
GAYLORD, MI 49735
33aNPI1164641676assigned 04/24/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$9.73M
24GClaims394,272
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Michigan
Rank by total paid#51 of 263
Median peer was paid$541K
This provider vs. median18×
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 | 68,687 | $1.11M | |
| 2019 | 62,739 | $1.28M | |
| 2020 | 56,951 | $1.31M | |
| 2021 | 55,796 | $1.56M | |
| 2022 | 51,774 | $1.47M | |
| 2023 | 52,547 | $1.61M | |
| 2024incomplete | 45,778 | $1.39M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 52% | 338,725 | 12,196 | $5.10M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 25% | 19,563 | 7,557 | $2.48M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 5.0% | 6,134 | 3,131 | $491K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.0% | 6,344 | 4,994 | $389K |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | 3.6% | 11,777 | 2,898 | $353K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.2% | 2,534 | 1,860 | $315K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 3.0% | 4,031 | 2,624 | $289K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 2,082 | 1,789 | $189K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,405 | 1,319 | $44K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 648 | 457 | $44K |
| H0001 | Alcohol and/or drug assessment | <1% | 114 | 114 | $19K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 293 | 169 | $16K |
2 more codes
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 officialWINTER, SUE (EXECUTIVE DIRECTOR)