Agency
Montcalm Care Network
Montcalm Care Network was paid $62.12M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 22% of everything it billed.
33Billing provider infoMONTCALM CARE NETWORK
STANTON, MI 48888
STANTON, MI 48888
33aNPI1710074448assigned 10/06/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$62.12M
24GClaims262,165
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Michigan
Rank by total paid#15 of 263
Median peer was paid$541K
This provider vs. median115×
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 | 32,631 | $8.75M | |
| 2019 | 33,003 | $8.19M | |
| 2020 | 30,892 | $5.92M | |
| 2021 | 37,640 | $8.01M | |
| 2022 | 41,188 | $10.02M | |
| 2023 | 45,619 | $10.92M | |
| 2024incomplete | 41,192 | $10.30M |
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 | 22% | 65,460 | 39,434 | $13.84M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 16% | 37,309 | 9,848 | $10.18M |
| 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 | 11% | 19,778 | 17,803 | $7.01M |
| H2030 | Mental health clubhouse services, per 15 minutes | 9.0% | 23,992 | 3,291 | $5.57M |
| H0038 | Self-help/peer services, per 15 minutes | 5.3% | 19,925 | 9,153 | $3.28M |
| T1002 | Rn services, up to 15 minutes | 4.3% | 6,881 | 5,147 | $2.65M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.9% | 4,408 | 4,316 | $2.44M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.6% | 9,519 | 7,062 | $2.21M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.6% | 9,317 | 7,612 | $1.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 5,626 | 5,244 | $1.34M |
| H0032 | Mental health service plan development by non-physician | 2.1% | 7,686 | 7,126 | $1.31M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 1.9% | 5,007 | 1,224 | $1.21M |
22 more codes
| H0031 | Mental health assessment, by non-physician | 1.8% | 3,931 | $1.13M |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 1.8% | 2,634 | $1.09M |
| H2015 | Community support for mental illness or disability, per 15 minutes | 1.7% | 9,711 | $1.04M |
| H2023 | Supported employment, per 15 minutes | 1.7% | 5,147 | $1.03M |
| T1016 | Case management, each 15 minutes | 1.0% | 2,560 | $646K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,122 | $617K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 1,938 | $546K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,638 | $524K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 1,393 | $435K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,985 | $417K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 1,391 | $381K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 4,972 | $311K |
| T1001 | Nursing assessment / evaluation | <1% | 651 | $309K |
| H2022 | Community-based wrap-around services, per diem | <1% | 573 | $225K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 263 | $213K |
| S5111 | Home care training, family; per session | <1% | 824 | $188K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 595 | $117K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 236 | $75K |
| H0034 | Medication training and support, per 15 minutes | <1% | 119 | $68K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 273 | $56K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 266 | $48K |
| 90785 | <1% | 35 | $9K |
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 officialWISE, JAMES (ASSOCIATE DIRECTOR OF FINANCE)