Agency
Monroe County Community Mental Health Authority
Monroe County Community Mental Health Authority was paid $55.29M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 32% of everything it billed.
33Billing provider infoMONROE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
MONROE, MI 48161
MONROE, MI 48161
33aNPI1245303890assigned 11/15/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$55.29M
24GClaims289,618
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Michigan
Rank by total paid#23 of 263
Median peer was paid$541K
This provider vs. median102×
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 | 39,285 | $7.07M | |
| 2019 | 36,165 | $6.64M | |
| 2020 | 34,706 | $4.59M | |
| 2021 | 35,487 | $7.34M | |
| 2022 | 34,379 | $8.43M | |
| 2023 | 42,834 | $9.25M | |
| 2024incomplete | 66,762 | $11.96M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 32% | 85,482 | 67,300 | $17.52M |
| H2030 | Mental health clubhouse services, per 15 minutes | 7.9% | 25,294 | 2,693 | $4.38M |
| 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 | 7.2% | 19,583 | 18,801 | $3.99M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 6.7% | 15,488 | 3,665 | $3.72M |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6.6% | 7,344 | 5,230 | $3.62M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 6.1% | 19,553 | 2,785 | $3.35M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.7% | 7,718 | 4,632 | $3.15M |
| H2021 | Community-based wrap-around services, per 15 minutes | 2.5% | 4,082 | 1,366 | $1.41M |
| H0038 | Self-help/peer services, per 15 minutes | 2.3% | 5,708 | 3,316 | $1.28M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.3% | 2,283 | 2,272 | $1.26M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 8,800 | 8,497 | $1.24M |
| T1016 | Case management, each 15 minutes | 2.1% | 8,104 | 5,051 | $1.18M |
24 more codes
| 90832 | Psychotherapy session, about 30 minutes | 2.1% | 2,820 | $1.17M |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 2.0% | 6,765 | $1.09M |
| T1001 | Nursing assessment / evaluation | 2.0% | 2,445 | $1.08M |
| 90834 | Psychotherapy session, about 45 minutes | 1.6% | 3,725 | $884K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 1.4% | 3,416 | $770K |
| 90791 | Psychiatric diagnostic evaluation | 1.3% | 2,469 | $714K |
| H2011 | Crisis intervention service, per 15 minutes | 1.1% | 1,369 | $607K |
| H0031 | Mental health assessment, by non-physician | 1.1% | 3,780 | $593K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.1% | 2,259 | $592K |
| S5111 | Home care training, family; per session | <1% | 5,759 | $533K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 1,255 | $390K |
| S9482 | Family stabilization services, per 15 minutes | <1% | 1,742 | $201K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 832 | $198K |
| 96137 | <1% | 273 | $112K | |
| H0032 | Mental health service plan development by non-physician | <1% | 699 | $72K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 299 | $63K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 582 | $39K |
| H2023 | Supported employment, per 15 minutes | <1% | 564 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 187 | $22K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 145 | $20K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 16 | $812.50 |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 36,834 | $368.34 |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 1,932 | $19.32 |
| 97165 | <1% | 12 | $12.00 |
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 officialGRAHAM, LISA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Northern Arizona Pulmonary Associates, LLC | Flagstaff, AZ | $929.36 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.