Agency
Sanilac County Community Mental Health Authority
Sanilac County Community Mental Health Authority was paid $61.03M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is H2014, Skills training and development, per 15 minutes — 18% of everything it billed.
33Billing provider infoSANILAC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
SANDUSKY, MI 48471
SANDUSKY, MI 48471
33aNPI1306854880assigned 08/03/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$61.03M
24GClaims353,368
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Michigan
Rank by total paid#18 of 263
Median peer was paid$541K
This provider vs. median113×
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 | 67,441 | $8.70M | |
| 2019 | 54,026 | $8.49M | |
| 2020 | 38,755 | $6.30M | |
| 2021 | 39,177 | $7.43M | |
| 2022 | 38,788 | $7.30M | |
| 2023 | 46,871 | $10.90M | |
| 2024incomplete | 68,310 | $11.93M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2014 | Skills training and development, per 15 minutes | 18% | 78,033 | 7,445 | $10.91M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 11% | 24,516 | 18,016 | $6.96M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 8.5% | 18,171 | 1,655 | $5.19M |
| T1016 | Case management, each 15 minutes | 7.8% | 24,884 | 17,209 | $4.75M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 13,223 | 12,510 | $4.16M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 6.5% | 26,466 | 2,934 | $3.99M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.2% | 15,989 | 10,145 | $3.80M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.0% | 17,775 | 12,357 | $3.05M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 3.5% | 32,597 | 10,991 | $2.12M |
| H0032 | Mental health service plan development by non-physician | 3.4% | 6,995 | 6,808 | $2.06M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 3.4% | 9,810 | 2,753 | $2.05M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 2.8% | 28,519 | 6,962 | $1.71M |
27 more codes
| H0038 | Self-help/peer services, per 15 minutes | 2.6% | 8,700 | $1.57M |
| H0031 | Mental health assessment, by non-physician | 2.5% | 3,302 | $1.50M |
| 90832 | Psychotherapy session, about 30 minutes | 1.7% | 10,067 | $1.01M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 924 | $766K |
| S5111 | Home care training, family; per session | 1.2% | 3,363 | $747K |
| H2011 | Crisis intervention service, per 15 minutes | 1.1% | 1,863 | $700K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 4,817 | $636K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,550 | $599K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,666 | $547K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 957 | $435K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 4,673 | $413K |
| 0365T | <1% | 2,665 | $400K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 849 | $372K |
| 0364T | <1% | 2,675 | $115K | |
| Q3014 | Telehealth originating site facility fee | <1% | 3,177 | $102K |
| 0368T | <1% | 1,257 | $92K | |
| T1005 | Respite care services, up to 15 minutes | <1% | 717 | $69K |
| 97533 | <1% | 265 | $51K | |
| 0369T | <1% | 693 | $47K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 128 | $39K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 153 | $21K |
| 97154 | <1% | 554 | $18K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 260 | $13K |
| 97167 | <1% | 12 | $5K | |
| T2029 | Specialized medical equipment, not otherwise specified, waiver | <1% | 48 | $2K |
| 0370T | <1% | 17 | $1K | |
| 0366T | <1% | 38 | $1K |
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 officialMORRIS, WILBERT (CHIEF EXECUTIVE OFFICER)