Clinic
Macomb County Community Mental Health
Macomb County Community Mental Health was paid $299.96M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 26% of everything it billed.
33Billing provider infoMACOMB COUNTY COMMUNITY MENTAL HEALTH
CLINTON TWP, MI 48036
CLINTON TWP, MI 48036
33aNPI1255385399assigned 05/22/2006
28Total paid$299.96M
24GClaims1,212,453
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Michigan
Rank by total paid#2 of 117
Median peer was paid$339K
This provider vs. median884×
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 | 122,828 | $27.00M | |
| 2019 | 105,655 | $25.28M | |
| 2020 | 84,497 | $18.48M | |
| 2021 | 103,588 | $27.41M | |
| 2022 | 223,752 | $79.88M | |
| 2023 | 292,383 | $79.03M | |
| 2024incomplete | 279,750 | $42.88M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 26% | 364,563 | 166,890 | $79.15M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 21% | 226,419 | 164,434 | $63.84M |
| 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 | 7.8% | 78,749 | 73,754 | $23.43M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 5.2% | 54,600 | 10,470 | $15.71M |
| T1016 | Case management, each 15 minutes | 4.1% | 47,695 | 39,342 | $12.37M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.9% | 34,046 | 21,310 | $8.57M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.8% | 51,114 | 37,053 | $8.29M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.6% | 10,755 | 10,682 | $7.77M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.4% | 16,560 | 16,094 | $7.25M |
| H2030 | Mental health clubhouse services, per 15 minutes | 2.4% | 38,157 | 4,754 | $7.22M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 1.9% | 15,845 | 4,963 | $5.58M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 22,467 | 21,461 | $5.34M |
43 more codes
| H0031 | Mental health assessment, by non-physician | 1.7% | 15,232 | $5.14M |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 1.7% | 9,423 | $5.12M |
| H2011 | Crisis intervention service, per 15 minutes | 1.7% | 11,121 | $5.01M |
| S5111 | Home care training, family; per session | 1.7% | 23,591 | $4.98M |
| H0032 | Mental health service plan development by non-physician | 1.3% | 23,160 | $3.75M |
| H2015 | Community support for mental illness or disability, per 15 minutes | 1.2% | 27,727 | $3.70M |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 1.2% | 9,675 | $3.46M |
| H0038 | Self-help/peer services, per 15 minutes | 1.1% | 16,187 | $3.24M |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 23,294 | $3.08M |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 5,765 | $2.75M |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 7,487 | $2.60M |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 20,866 | $2.56M |
| T1005 | Respite care services, up to 15 minutes | <1% | 19,084 | $1.71M |
| T2023 | Targeted case management; per month | <1% | 3,477 | $1.71M |
| H2022 | Community-based wrap-around services, per diem | <1% | 4,599 | $1.58M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 7,356 | $1.40M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 2,566 | $437K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,473 | $432K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 1,080 | $379K |
| G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | <1% | 4,920 | $348K |
| 99443 | <1% | 1,273 | $344K | |
| T1002 | Rn services, up to 15 minutes | <1% | 2,556 | $328K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,162 | $288K |
| S5116 | Home care training, non-family; per session | <1% | 993 | $192K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 791 | $158K |
| T2025 | Waiver services not otherwise specified | <1% | 1,196 | $126K |
| H0034 | Medication training and support, per 15 minutes | <1% | 680 | $83K |
| 99442 | <1% | 271 | $69K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 589 | $69K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,164 | $68K |
| T1001 | Nursing assessment / evaluation | <1% | 200 | $67K |
| 99441 | <1% | 284 | $63K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 160 | $57K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 171 | $26K |
| Q3014 | Telehealth originating site facility fee | <1% | 197 | $18K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 315 | $15K |
| 96127 | <1% | 73 | $14K | |
| 96113 | <1% | 91 | $14K | |
| 96112 | <1% | 53 | $13K | |
| 96101 | <1% | 31 | $10K | |
| 97124 | <1% | 121 | $5K | |
| 96130 | <1% | 12 | $4K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 17 | $4K |
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 officialJOSEF, NORMA (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Macomb County CMH | Chesterfield, MI | $1.67M |
| County of Macomb | Clinton Twp, MI | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.