Behavioral
Northpointe Behavioral Healthcare System
Northpointe Behavioral Healthcare System was paid $67.32M by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 24% of everything it billed.
33Billing provider infoNORTHPOINTE BEHAVIORAL HEALTHCARE SYSTEM
KINGSFORD, MI 49802
KINGSFORD, MI 49802
33aNPI1205864881assigned 06/30/2006
33bProvider typePsychologist
28Total paid$67.32M
24GClaims454,315
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychologist providers in Michigan
Rank by total paid#1 of 105
Median peer was paid$113K
This provider vs. median598×
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 | 91,293 | $8.87M | |
| 2019 | 78,696 | $8.33M | |
| 2020 | 60,610 | $6.71M | |
| 2021 | 62,735 | $10.26M | |
| 2022 | 58,935 | $11.64M | |
| 2023 | 53,272 | $10.80M | |
| 2024incomplete | 48,774 | $10.73M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 24% | 86,320 | 2,963 | $16.36M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 14% | 41,148 | 24,132 | $9.26M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 6.9% | 23,388 | 4,754 | $4.65M |
| T1016 | Case management, each 15 minutes | 6.8% | 36,476 | 22,591 | $4.55M |
| 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) | 6.6% | 86,329 | 2,963 | $4.42M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 3.9% | 6,124 | 513 | $2.64M |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 3.4% | 1,312 | 1,123 | $2.27M |
| 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 | 3.3% | 7,928 | 7,701 | $2.20M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.0% | 8,516 | 5,544 | $1.99M |
| H2030 | Mental health clubhouse services, per 15 minutes | 2.8% | 11,347 | 870 | $1.85M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 2.7% | 50,570 | 5,013 | $1.79M |
| H2011 | Crisis intervention service, per 15 minutes | 2.5% | 3,044 | 2,294 | $1.68M |
36 more codes
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 2.4% | 9,277 | $1.65M |
| H0032 | Mental health service plan development by non-physician | 2.1% | 6,688 | $1.38M |
| 90834 | Psychotherapy session, about 45 minutes | 1.6% | 6,099 | $1.05M |
| H0038 | Self-help/peer services, per 15 minutes | 1.4% | 9,818 | $956K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 1,035 | $876K |
| 99213 | Doctor's office visit, returning patient (routine) | 1.2% | 4,140 | $811K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 1,864 | $762K |
| H2014 | Skills training and development, per 15 minutes | 1.1% | 13,786 | $754K |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | 1.0% | 1,391 | $676K |
| T1002 | Rn services, up to 15 minutes | <1% | 3,825 | $651K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,429 | $515K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,483 | $446K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 834 | $378K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,411 | $350K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 1,306 | $335K |
| H0031 | Mental health assessment, by non-physician | <1% | 1,319 | $332K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,456 | $294K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 1,550 | $286K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 722 | $249K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 698 | $190K |
| 0365T | <1% | 2,612 | $173K | |
| S5111 | Home care training, family; per session | <1% | 423 | $112K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 2,811 | $101K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 330 | $65K |
| 0364T | <1% | 2,662 | $53K | |
| S9482 | Family stabilization services, per 15 minutes | <1% | 268 | $48K |
| 0369T | <1% | 701 | $47K | |
| Q3014 | Telehealth originating site facility fee | <1% | 4,801 | $46K |
| 0368T | <1% | 778 | $33K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 121 | $25K |
| T1001 | Nursing assessment / evaluation | <1% | 12 | $11K |
| 97803 | <1% | 42 | $4K | |
| 97168 | <1% | 12 | $3K | |
| 97802 | <1% | 12 | $2K | |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 70 | $1K |
| S9484 | Crisis intervention mental health services, per hour | <1% | 27 | $1K |
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 officialCESCOLINI, JENNIFER (CEO)