Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PATHWAYS

NPI: 1487683546 · MARQUETTE, MI 49855 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 07/01/2006

$89.12M
Total Medicaid Paid
379,900
Total Claims
174,121
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNELSON, LAURA (CREDENTIALING COORDINATOR)
NPI Enumeration Date07/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69,463 $10.05M
2019 61,169 $9.12M
2020 42,003 $6.53M
2021 49,526 $12.83M
2022 53,072 $19.72M
2023 53,793 $16.37M
2024 50,874 $14.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2015 Comprehensive community support services, per 15 minutes 85,198 17,343 $17.30M
T1017 Targeted case management, each 15 minutes 42,161 27,355 $13.09M
H0039 Assertive community treatment, face-to-face, per 15 minutes 57,413 5,555 $9.54M
90837 Psychotherapy, 53 minutes with patient 27,234 16,330 $6.88M
T1016 Case management, each 15 minutes 28,323 19,045 $5.92M
H2030 Mental health clubhouse services, per 15 minutes 10,951 1,989 $3.39M
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 6,436 895 $3.04M
90834 Psychotherapy, 45 minutes with patient 13,891 10,560 $2.70M
H2000 Comprehensive multidisciplinary evaluation 820 642 $2.53M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,495 11,365 $2.52M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,939 6,756 $2.27M
H0032 Mental health service plan development by non-physician 15,505 12,607 $2.25M
H2011 Crisis intervention service, per 15 minutes 5,590 4,360 $2.19M
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 2,753 2,455 $2.15M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 8,748 2,855 $2.06M
90791 Psychiatric diagnostic evaluation 4,945 4,893 $1.66M
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 8,207 1,301 $1.53M
H0031 Mental health assessment, by non-physician 2,244 2,209 $1.34M
90792 Psychiatric diagnostic evaluation with medical services 1,056 1,052 $1.11M
90832 Psychotherapy, 30 minutes with patient 7,662 6,054 $896K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 2,140 2,020 $683K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,074 4,900 $681K
H0038 Self-help/peer services, per 15 minutes 2,790 966 $427K
90847 Family psychotherapy with the patient present, 50 minutes 2,017 1,459 $417K
S5111 Home care training, family; per session 1,955 1,362 $337K
0365T 2,091 193 $325K
90853 Group psychotherapy (other than of a multiple-family group) 1,361 632 $319K
97151 217 191 $257K
90846 Family psychotherapy without the patient present, 50 minutes 1,110 764 $246K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 800 479 $193K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 1,012 558 $175K
H2019 Therapeutic behavioral services, per 15 minutes 833 198 $144K
H2022 Community-based wrap-around services, per diem 143 61 $140K
0364T 2,108 193 $114K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 3,808 1,597 $105K
H2021 Community-based wrap-around services, per 15 minutes 686 266 $62K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 307 306 $52K
Q3014 Telehealth originating site facility fee 2,031 1,991 $29K
H2014 Skills training and development, per 15 minutes 414 89 $19K
0369T 150 93 $18K
97156 95 76 $12K
0368T 187 106 $11K