Agency
Hiawatha Community Behavioral Health Authority
Hiawatha Community Behavioral Health Authority was paid $38.59M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 18% of everything it billed.
33Billing provider infoHIAWATHA COMMUNITY BEHAVIORAL HEALTH AUTHORITY
SAULT SAINTE MARIE, MI 49783
SAULT SAINTE MARIE, MI 49783
33aNPI1629161567assigned 10/02/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$38.59M
24GClaims210,105
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Michigan
Rank by total paid#29 of 263
Median peer was paid$541K
This provider vs. median71×
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 | 48,094 | $6.11M | |
| 2019 | 34,653 | $5.36M | |
| 2020 | 20,368 | $3.74M | |
| 2021 | 24,201 | $5.74M | |
| 2022 | 25,676 | $6.16M | |
| 2023 | 28,681 | $5.94M | |
| 2024incomplete | 28,432 | $5.55M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 18% | 26,461 | 13,334 | $7.05M |
| T1016 | Case management, each 15 minutes | 11% | 17,113 | 11,505 | $4.43M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 9.4% | 18,094 | 2,111 | $3.64M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 9.3% | 41,673 | 7,876 | $3.60M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.5% | 12,813 | 9,045 | $3.27M |
| H0038 | Self-help/peer services, per 15 minutes | 5.6% | 9,308 | 3,382 | $2.14M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.3% | 10,639 | 8,375 | $2.06M |
| 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 | 5.2% | 4,654 | 4,557 | $2.00M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 4.0% | 14,717 | 503 | $1.53M |
| H2011 | Crisis intervention service, per 15 minutes | 3.2% | 2,367 | 2,077 | $1.22M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 4,120 | 4,091 | $1.19M |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 3.0% | 1,763 | 1,592 | $1.14M |
21 more codes
| H0032 | Mental health service plan development by non-physician | 2.6% | 7,777 | $1.01M |
| T1020 | Help at home with daily living, billed per day | 2.0% | 14,479 | $766K |
| H2030 | Mental health clubhouse services, per 15 minutes | 1.5% | 2,846 | $591K |
| 90832 | Psychotherapy session, about 30 minutes | 1.5% | 4,692 | $568K |
| H0031 | Mental health assessment, by non-physician | 1.3% | 1,696 | $520K |
| 90791 | Psychiatric diagnostic evaluation | 1.3% | 2,023 | $489K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 630 | $364K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 954 | $229K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 143 | $205K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 1,496 | $193K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,023 | $125K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 491 | $99K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 54 | $46K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 522 | $42K |
| S5111 | Home care training, family; per session | <1% | 345 | $32K |
| S9482 | Family stabilization services, per 15 minutes | <1% | 38 | $10K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $10K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 178 | $2K |
| H0034 | Medication training and support, per 15 minutes | <1% | 38 | $1K |
| T1002 | Rn services, up to 15 minutes | <1% | 15 | $845.92 |
| Q3014 | Telehealth originating site facility fee | <1% | 3,931 | $39.31 |
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 officialHARMA, SAMUEL (CHIEF EXECUTIVE OFFICER)