Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Hegira Health, INC

Hegira Health, INC was paid $109.53M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 13% of everything it billed.

33Billing provider infoHEGIRA HEALTH, INC
WESTLAND, MI 48185
33aNPI1184684979assigned 03/24/2006
28Total paid$109.53M
24GClaims721,227
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in Michigan

Rank by total paid#1 of 113
Median peer was paid$164K
This provider vs. median667×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2018118,148$18.97M
2019115,278$21.16M
2020100,406$18.20M
202156,262$7.24M
202299,964$13.36M
2023111,891$15.48M
2024incomplete119,278$15.11M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 13% 67,573 49,347 $14.71M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 11% 49,140 6,096 $12.34M
H0039 Assertive community treatment, face-to-face, per 15 minutes 11% 66,980 8,148 $11.98M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 9.8% 71,165 45,646 $10.76M
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 9.0% 25,386 22,659 $9.89M
H0036 Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes 5.6% 19,388 4,751 $6.15M
H0032 Mental health service plan development by non-physician 5.4% 39,224 30,341 $5.93M
H0031 Mental health assessment, by non-physician 3.9% 27,978 25,046 $4.27M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 3.5% 35,102 26,822 $3.87M
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% 36,105 34,666 $3.54M
H2011 Crisis intervention service, per 15 minutes 3.2% 11,532 6,056 $3.52M
H2030 Mental health clubhouse services, per 15 minutes 3.2% 76,345 4,783 $3.47M
40 more codes
H2021 Community-based wrap-around services, per 15 minutes 2.9% 5,134 $3.23M
90791 Psychiatric diagnostic evaluation 2.4% 7,735 $2.64M
99214 Doctor's office visit, returning patient (more involved) 2.1% 18,293 $2.35M
S0280 Medical home program, comprehensive care coordination and planning, initial plan 1.5% 6,548 $1.62M
90832 Psychotherapy session, about 30 minutes 1.3% 20,961 $1.44M
S9976 Lodging, per diem, not otherwise classified 1.0% 42,715 $1.15M
T1016 Case management, each 15 minutes <1% 4,056 $828K
90792 Psychiatric diagnostic evaluation with medical services <1% 2,809 $653K
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) <1% 3,282 $513K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 9,079 $495K
H0038 Self-help/peer services, per 15 minutes <1% 10,022 $491K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 6,579 $398K
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% 4,609 $381K
99215 Doctor's office visit, returning patient (complex) <1% 2,479 $369K
T2003 Non-emergency transportation, per trip <1% 4,342 $347K
H2019 Therapeutic behavioral services, billed per 15 minutes <1% 1,944 $344K
H0001 Alcohol and/or drug assessment <1% 2,199 $228K
90853 Group psychotherapy (other than of a multiple-family group) <1% 5,210 $189K
T1001 Nursing assessment / evaluation <1% 1,680 $178K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 2,060 $173K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,052 $171K
T1012 Alcohol and/or substance abuse services, skills development <1% 1,538 $154K
S5111 Home care training, family; per session <1% 861 $134K
H2023 Supported employment, per 15 minutes <1% 988 $134K
H0006 Alcohol and/or drug services; case management <1% 1,342 $101K
99205 Prolong outpt/office vis <1% 537 $94K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 474 $53K
H0003 Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs <1% 1,797 $52K
T1002 Rn services, up to 15 minutes <1% 933 $40K
90847 Family psychotherapy with the patient present, 50 minutes <1% 292 $39K
99203 Doctor's office visit, new patient (routine) <1% 330 $31K
90846 Family psychotherapy without the patient present, 50 minutes <1% 210 $26K
80305 <1% 2,295 $21K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) <1% 182 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 84 $6K
99201 <1% 73 $4K
99442 <1% 88 $3K
99443 <1% 70 $3K
99406 <1% 26 $145.31
T1040 Medicaid certified community behavioral health clinic services, per diem <1% 13,401 $134.01

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 officialZUNIGA, CAROL (CEO)
Same official

Other billing entities under ZUNIGA, CAROL

Full network →
ProviderLocationPaid
Hegira Health, INCLivonia, MI$24.43M
Hegira Health, INC.Westland, MI$17.02M
Hegira Health, INC.Canton, MI$11.76M
Hegira Health, INC.Westland, MI$2.27M
Hegira Health, INC.Westland, MI$481K
Hegira Health, INC.Livonia, MI$169K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.