Elmhurst Home, INC.

Elmhurst Home, INC. was paid $21.38M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 52% of everything it billed.

33Billing provider infoELMHURST HOME, INC.
DETROIT, MI 48206

33aNPI1366659906assigned 05/16/2007

33bProvider typeSubstance Abuse Rehabilitation Facility

28Total paid$21.38M

24GClaims184,600

24DCodes billed22

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Michigan

Rank by total paid#4 of 44

Median peer was paid$2.35M

This provider vs. median9.1×

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	40,838	$3.26M
2019	13,688	$2.58M
2020	18,487	$2.48M
2021	13,632	$2.40M
2022	8,237	$2.50M
2023	21,426	$3.60M
2024incomplete	68,292	$4.55M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	52%	17,876	5,484	$11.12M
S9976	Lodging, per diem, not otherwise classified	15%	34,299	7,895	$3.25M
T1012	Alcohol and/or substance abuse services, skills development	7.9%	27,548	4,207	$1.70M
H0023	Behavioral health outreach service (planned approach to reach a targeted population)	5.3%	17,873	2,656	$1.13M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education	5.0%	11,236	1,330	$1.07M
H0038	Self-help/peer services, per 15 minutes	4.6%	29,248	5,052	$976K
H2034	Alcohol and/or drug abuse halfway house services, per diem	3.4%	5,010	1,204	$717K
H0019	Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	2.4%	5,147	291	$504K
H0001	Alcohol and/or drug assessment	1.7%	2,904	2,894	$359K
H0006	Alcohol and/or drug services; case management	1.4%	3,708	1,094	$297K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	889	655	$124K
H0031	Mental health assessment, by non-physician	<1%	348	194	$38K

10 more codes

99215	Doctor's office visit, returning patient (complex)	<1%	201	$25K
H0032	Mental health service plan development by non-physician	<1%	183	$24K
T1017	Case management, billed per 15 minutes	<1%	339	$19K
99214	Doctor's office visit, returning patient (more involved)	<1%	90	$9K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	251	$7K
T1001	Nursing assessment / evaluation	<1%	49	$5K
90791	Psychiatric diagnostic evaluation	<1%	27	$4K
H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	90	$2K
90832	Psychotherapy session, about 30 minutes	<1%	33	$2K
T1040	Medicaid certified community behavioral health clinic services, per diem	<1%	27,251	$272.51

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 officialODEN, JOHN (EXECUTIVE DIRECTOR)