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 $12.53M by Medicaid between Nov 2021 and Dec 2024, across 17 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 43% of everything it billed.

33Billing provider infoDOWNRIVER MENTAL HEALTH CLINIC PC
TAYLOR, MI 48180
33aNPI1295866135assigned 03/09/2007
33bProvider typeMental Health Counselor
28Total paid$12.53M
24GClaims181,695
24DCodes billed17
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers

Next to other Mental Health Counselor providers in Michigan

Rank by total paid#10 of 199
Median peer was paid$96K
This provider vs. median130×

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$200K$400K$600K2018201920202021202220232024
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
20211,864$104K
202229,977$1.87M
202369,648$4.66M
2024incomplete80,206$5.90M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 43% 69,003 30,547 $5.45M
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 23% 39,792 35,094 $2.83M
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 7.7% 24,338 21,524 $962K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 5.0% 12,188 8,200 $632K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 4.9% 5,931 5,837 $615K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.7% 9,406 8,497 $467K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.4% 4,348 3,835 $425K
99205 Prolong outpt/office vis 2.3% 2,450 2,421 $291K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.0% 2,845 2,806 $251K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 1.5% 4,763 3,610 $189K
90792 Psychiatric diagnostic evaluation with medical services 1.4% 1,517 1,471 $178K
90836 <1% 2,433 2,302 $118K
5 more codes
90847 Family psychotherapy with the patient present, 50 minutes <1% 1,241 $66K
90838 <1% 713 $45K
90785 <1% 653 $5K
99203 Doctor's office visit, new patient (routine) <1% 40 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 34 $987.65

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 (CHEIF 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.