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

Downriver Mental Health Clinic PC

Downriver Mental Health Clinic PC was paid $466K by Medicaid between Jan 2018 and Oct 2021, across 5 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 60% of everything it billed.

33Billing provider infoDOWNRIVER MENTAL HEALTH CLINIC PC
BRIGHTON, MI 48114
33aNPI1225165715assigned 02/28/2007
33bProvider typeClinical Social Worker
28Total paid$466K
24GClaims8,027
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Clinical Social Worker providers in Michigan

Rank by total paid#70 of 411
Median peer was paid$49K
This provider vs. median9.5×

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.

Entity ProliferationAuthorized official PARDO, RYAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20182,145$118K
20192,044$113K
20201,966$115K
20211,872$119K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 60% 3,912 1,878 $279K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 30% 2,954 1,578 $139K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.1% 914 873 $33K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.7% 112 110 $8K
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 1.5% 135 116 $7K

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 officialPARDO, RYAN (CHIEF LEGAL OFFICER)
Same official

Other billing entities under PARDO, RYAN

Full network →

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