Agency
Saginaw County Community Mental Health Authority
Saginaw County Community Mental Health Authority was paid $172.17M by Medicaid between Jan 2018 and Oct 2024, across 63 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 25% of everything it billed.
33Billing provider infoSAGINAW COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
SAGINAW, MI 48602
SAGINAW, MI 48602
33aNPI1689778953assigned 09/08/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$172.17M
24GClaims797,441
24DCodes billed63
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Michigan
Rank by total paid#3 of 263
Median peer was paid$541K
This provider vs. median318×
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 | 68,287 | $23.52M | |
| 2019 | 68,704 | $21.63M | |
| 2020 | 67,794 | $19.84M | |
| 2021 | 76,470 | $18.41M | |
| 2022 | 122,213 | $27.55M | |
| 2023 | 208,485 | $37.20M | |
| 2024incomplete | 185,488 | $24.01M |
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 | 25% | 148,293 | 88,375 | $42.72M |
| T1016 | Case management, each 15 minutes | 9.4% | 49,091 | 31,447 | $16.14M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 8.5% | 193,268 | 71,696 | $14.66M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 5.1% | 93,734 | 10,377 | $8.86M |
| H2023 | Supported employment, per 15 minutes | 5.1% | 11,005 | 3,717 | $8.71M |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 4.1% | 17,534 | 15,155 | $6.98M |
| 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 | 4.0% | 26,387 | 23,872 | $6.86M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.0% | 17,992 | 11,081 | $6.82M |
| H0031 | Mental health assessment, by non-physician | 3.9% | 15,546 | 14,405 | $6.80M |
| H2011 | Crisis intervention service, per 15 minutes | 3.8% | 14,199 | 9,331 | $6.60M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.7% | 18,347 | 12,107 | $4.69M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 17,751 | 16,332 | $4.64M |
51 more codes
| H2021 | Community-based wrap-around services, per 15 minutes | 2.4% | 5,974 | $4.06M |
| 90791 | Psychiatric diagnostic evaluation | 2.0% | 10,396 | $3.48M |
| H0032 | Mental health service plan development by non-physician | 1.5% | 9,914 | $2.54M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 1.3% | 15,739 | $2.30M |
| 90832 | Psychotherapy session, about 30 minutes | 1.3% | 9,941 | $2.20M |
| H0038 | Self-help/peer services, per 15 minutes | 1.3% | 9,357 | $2.18M |
| S9482 | Family stabilization services, per 15 minutes | 1.0% | 4,966 | $1.74M |
| H2030 | Mental health clubhouse services, per 15 minutes | <1% | 18,902 | $1.71M |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 7,504 | $1.69M |
| T1002 | Rn services, up to 15 minutes | <1% | 9,783 | $1.35M |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18,398 | $1.28M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 3,327 | $1.19M |
| S5111 | Home care training, family; per session | <1% | 3,519 | $1.15M |
| H2022 | Community-based wrap-around services, per diem | <1% | 1,441 | $1.14M |
| T1005 | Respite care services, up to 15 minutes | <1% | 9,154 | $949K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 2,450 | $852K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 3,381 | $848K |
| T1001 | Nursing assessment / evaluation | <1% | 2,347 | $825K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,099 | $791K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,742 | $785K |
| S9470 | Nutritional counseling, dietitian visit | <1% | 2,724 | $692K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 1,628 | $571K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,945 | $498K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 1,481 | $444K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 4,225 | $352K |
| 97803 | <1% | 1,358 | $313K | |
| H2014 | Skills training and development, per 15 minutes | <1% | 1,243 | $265K |
| 97533 | <1% | 1,024 | $215K | |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 3,600 | $208K |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | <1% | 509 | $193K |
| H0045 | Respite care services, not in the home, per diem | <1% | 462 | $159K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 382 | $136K |
| 96127 | <1% | 237 | $98K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 203 | $74K |
| 96113 | <1% | 285 | $70K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 238 | $67K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 152 | $65K |
| 97802 | <1% | 126 | $58K | |
| 96112 | <1% | 109 | $43K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 162 | $34K |
| 96130 | <1% | 109 | $23K | |
| 96131 | <1% | 105 | $22K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 36 | $12K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 34 | $11K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 151 | $8K |
| H0034 | Medication training and support, per 15 minutes | <1% | 43 | $6K |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | <1% | 149 | $6K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 21 | $3K |
| 97166 | <1% | 12 | $3K | |
| J1631 | Injection, haloperidol decanoate, per 50 mg | <1% | 194 | $2K |
| 96136 | <1% | 13 | $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 officialLINDSEY, SANDRA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Saginaw County Comm Mental Health Authority | Saginaw, MI | $71K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.