Medicaid Provider Spending

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

MONTCALM CARE NETWORK

NPI: 1710074448 · STANTON, MI 48888 · Community/Behavioral Health Agency · NPI assigned 10/06/2006

$62.12M
Total Medicaid Paid
262,165
Total Claims
151,414
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWISE, JAMES (ASSOCIATE DIRECTOR OF FINANCE)
NPI Enumeration Date10/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 41,192 $10.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 65,460 39,434 $13.84M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 37,309 9,848 $10.18M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,778 17,803 $7.01M
H2030 Mental health clubhouse services, per 15 minutes 23,992 3,291 $5.57M
H0038 Self-help/peer services, per 15 minutes 19,925 9,153 $3.28M
T1002 Rn services, up to 15 minutes 6,881 5,147 $2.65M
90791 Psychiatric diagnostic evaluation 4,408 4,316 $2.44M
90837 Psychotherapy, 53 minutes with patient 9,519 7,062 $2.21M
90834 Psychotherapy, 45 minutes with patient 9,317 7,612 $1.61M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,626 5,244 $1.34M
H0032 Mental health service plan development by non-physician 7,686 7,126 $1.31M
H2019 Therapeutic behavioral services, per 15 minutes 5,007 1,224 $1.21M
H0031 Mental health assessment, by non-physician 3,931 3,908 $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 2,634 2,326 $1.09M
H2015 Comprehensive community support services, per 15 minutes 9,711 3,126 $1.04M
H2023 Supported employment, per 15 minutes 5,147 3,451 $1.03M
T1016 Case management, each 15 minutes 2,560 1,623 $646K
99215 Prolong outpt/office vis 1,122 1,038 $617K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 1,938 1,390 $546K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,638 3,926 $524K
H2000 Comprehensive multidisciplinary evaluation 1,393 1,045 $435K
90832 Psychotherapy, 30 minutes with patient 3,985 3,503 $417K
H2011 Crisis intervention service, per 15 minutes 1,391 1,078 $381K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 4,972 4,903 $311K
T1001 Nursing assessment / evaluation 651 649 $309K
H2022 Community-based wrap-around services, per diem 573 238 $225K
90792 Psychiatric diagnostic evaluation with medical services 263 261 $213K
S5111 Home care training, family; per session 824 588 $188K
90853 Group psychotherapy (other than of a multiple-family group) 595 277 $117K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 236 212 $75K
H0034 Medication training and support, per 15 minutes 119 113 $68K
90847 Family psychotherapy with the patient present, 50 minutes 273 231 $56K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 266 243 $48K
90785 35 25 $9K