West Michigan Community Mental Health System

West Michigan Community Mental Health System was paid $101.88M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 17% of everything it billed.

33Billing provider infoWEST MICHIGAN COMMUNITY MENTAL HEALTH SYSTEM
LUDINGTON, MI 49431

33aNPI1275646309assigned 08/15/2006

33bProvider typeMental Health Counselor

28Total paid$101.88M

24GClaims597,117

24DCodes billed51

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in Michigan

Rank by total paid#1 of 199

Median peer was paid$96K

This provider vs. median1,058×

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	70,675	$10.24M
2019	67,652	$11.64M
2020	54,127	$8.79M
2021	67,168	$12.44M
2022	105,001	$18.32M
2023	116,437	$25.34M
2024incomplete	116,057	$15.12M

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	17%	128,844	47,862	$17.74M
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	16%	63,874	45,177	$16.15M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	14%	118,720	23,199	$14.11M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	5.1%	35,540	21,346	$5.16M
H0039	Assertive community treatment, face-to-face, per 15 minutes	4.7%	24,535	3,235	$4.84M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.7%	18,364	16,420	$4.75M
H2014	Skills training and development, per 15 minutes	3.1%	35,801	6,479	$3.17M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	2.6%	13,039	7,008	$2.62M
H0038	Self-help/peer services, per 15 minutes	2.4%	9,452	4,878	$2.46M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.4%	5,103	4,717	$2.46M
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	2.4%	13,273	1,416	$2.42M
H0032	Mental health service plan development by non-physician	2.3%	14,094	11,847	$2.39M

39 more codes

99214	Doctor's office visit, returning patient (more involved)	2.0%	7,742	$2.06M
H2011	Crisis intervention service, per 15 minutes	2.0%	3,270	$2.02M
H0036	Community psychiatric support and treatment, per 15 minutes	1.9%	6,705	$1.96M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	1.7%	8,251	$1.70M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1.6%	1,811	$1.64M
T1012	Alcohol and/or substance abuse services, skills development	1.5%	10,659	$1.56M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	1.5%	4,131	$1.50M
90832	Psychotherapy session, about 30 minutes	1.3%	12,433	$1.33M
H0050	Alcohol and/or drug services, brief intervention, per 15 minutes	1.2%	7,278	$1.24M
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.1%	5,687	$1.16M
H0031	Mental health assessment, by non-physician	1.1%	3,626	$1.11M
90792	Psychiatric diagnostic evaluation with medical services	<1%	807	$783K
T1016	Case management, each 15 minutes	<1%	4,818	$681K
S5111	Home care training, family; per session	<1%	3,101	$663K
H0001	Alcohol and/or drug assessment	<1%	1,649	$552K
H2021	Community-based wrap-around services, per 15 minutes	<1%	1,637	$495K
T1002	Rn services, up to 15 minutes	<1%	2,457	$483K
97156		<1%	3,433	$408K
0365T		<1%	3,365	$359K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	5,991	$307K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	2,213	$307K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	950	$215K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	<1%	919	$164K
Q3014	Telehealth originating site facility fee	<1%	4,709	$156K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	785	$147K
0368T		<1%	826	$121K
0364T		<1%	3,399	$113K
0369T		<1%	748	$102K
H2023	Supported employment, per 15 minutes	<1%	943	$76K
99215	Doctor's office visit, returning patient (complex)	<1%	187	$75K
H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	655	$34K
H0022	Alcohol and/or drug intervention service (planned facilitation)	<1%	250	$32K
90839		<1%	34	$19K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	<1%	785	$18K
97151		<1%	41	$16K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	67	$12K
0370T		<1%	87	$9K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	15	$2K
H0006	Alcohol and/or drug services; case management	<1%	14	$930.72

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 officialVANDENHEUVEL, RICH (EXECUTIVE DIRECTOR)