Medicaid Provider Spending

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

ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY

NPI: 1689783672 · PORT HURON, MI 48060 · Community/Behavioral Health Agency · NPI assigned 08/30/2006

$157.18M
Total Medicaid Paid
1,092,108
Total Claims
512,859
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOHNSON, DEBRA (EXECUTIVE DIRECTOR)
NPI Enumeration Date08/30/2006

Related Entities

Other providers sharing the same authorized official: JOHNSON, DEBRA

ProviderCityStateTotal Paid
ADVANCED BEHAVIORAL HEALTH, PLLC ELIZABETHTOWN KY $1.22M
ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY - SUD SERVICES PORT HURON MI $900K
HEART 2 HEART HOME CARE, INC. HAMMOND IN $713K
MEMORY LANE, INC. VAN BUREN AR $278K
CONNECTIONS HIGH SCHOOL & VOCATIONAL CENTER INC WEST PALM BEACH FL $141K
ST CLAIR COUNTY COMMUNITY MENTAL HEALTH SUD SERVICES - MARINE CITY MARINE CITY MI $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 115,308 $19.17M
2019 108,083 $18.90M
2020 97,664 $13.50M
2021 137,561 $17.54M
2022 200,856 $27.43M
2023 223,981 $31.60M
2024 208,655 $29.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2015 Comprehensive community support services, per 15 minutes 109,905 24,340 $27.22M
T1017 Targeted case management, each 15 minutes 144,798 87,206 $25.12M
90837 Psychotherapy, 53 minutes with patient 55,654 32,439 $13.50M
T1016 Case management, each 15 minutes 74,341 46,011 $6.95M
90834 Psychotherapy, 45 minutes with patient 38,063 27,342 $6.26M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,173 21,874 $6.01M
H0038 Self-help/peer services, per 15 minutes 34,831 13,034 $5.94M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,875 26,929 $5.12M
H0039 Assertive community treatment, face-to-face, per 15 minutes 42,796 4,420 $4.07M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 26,425 5,228 $3.97M
90791 Psychiatric diagnostic evaluation 8,702 8,647 $3.68M
H2014 Skills training and development, per 15 minutes 14,649 1,146 $3.49M
H0031 Mental health assessment, by non-physician 7,034 6,856 $3.41M
90792 Psychiatric diagnostic evaluation with medical services 5,518 5,482 $3.38M
T1002 Rn services, up to 15 minutes 32,154 16,932 $3.33M
H2023 Supported employment, per 15 minutes 15,061 5,914 $3.18M
90853 Group psychotherapy (other than of a multiple-family group) 19,585 7,364 $2.95M
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 2,696 2,486 $2.87M
H2030 Mental health clubhouse services, per 15 minutes 26,535 2,031 $2.83M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 19,697 13,531 $2.67M
H0032 Mental health service plan development by non-physician 11,219 10,727 $2.57M
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 6,443 459 $2.44M
99215 Prolong outpt/office vis 6,457 6,161 $2.36M
90832 Psychotherapy, 30 minutes with patient 20,947 15,385 $2.25M
90847 Family psychotherapy with the patient present, 50 minutes 9,433 6,774 $2.01M
S5111 Home care training, family; per session 9,520 5,646 $1.78M
H2021 Community-based wrap-around services, per 15 minutes 3,639 1,336 $1.24M
0365T 4,201 328 $1.20M
H2019 Therapeutic behavioral services, per 15 minutes 5,756 1,475 $1.18M
H2011 Crisis intervention service, per 15 minutes 2,260 1,331 $1.06M
H0046 Mental health services, not otherwise specified 2,829 1,181 $549K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 1,776 435 $481K
S9470 Nutritional counseling, dietitian visit 1,636 1,101 $412K
0364T 4,216 328 $332K
90846 Family psychotherapy without the patient present, 50 minutes 1,459 1,203 $253K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,195 2,128 $217K
0369T 998 243 $204K
0368T 1,103 245 $108K
97535 Self-care/home management training, each 15 minutes 241 190 $98K
H2022 Community-based wrap-around services, per diem 257 97 $98K
97533 134 97 $83K
99417 Prolong home eval add 15m 1,257 1,238 $68K
S9482 Family stabilization services, per 15 minutes 220 79 $56K
97166 32 30 $49K
96116 193 193 $41K
97156 259 108 $23K
S9446 Patient education, not otherwise classified, non-physician provider, group, per session 60 14 $23K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 24 22 $15K
97167 76 75 $14K
97530 Therapeutic activities, direct patient contact, each 15 minutes 88 63 $8K
99442 54 51 $7K
E1399 Durable medical equipment, miscellaneous 25 16 $7K
99441 50 49 $5K
0370T 18 12 $4K
T1040 Medicaid certified community behavioral health clinic services, per diem 263,493 94,782 $2K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 14 12 $1K
Q3014 Telehealth originating site facility fee 34 33 $1K