Medicaid Provider Spending

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

CUMMINS BEHAVIORAL HEALTH SYSTEMS, INCORPORATED

NPI: 1740232115 · AVON, IN 46123 · Non-emergency Medical Transport (VAN) · NPI assigned 05/16/2006

$108.47M
Total Medicaid Paid
1,477,214
Total Claims
687,205
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACE, AMY (PRESIDENT & CEO)
NPI Enumeration Date05/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 228,269 $17.60M
2019 217,788 $16.72M
2020 210,977 $14.71M
2021 196,052 $15.53M
2022 216,266 $16.10M
2023 228,754 $16.93M
2024 179,108 $10.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2014 Skills training and development, per 15 minutes 554,855 174,616 $65.22M
90834 Psychotherapy, 45 minutes with patient 320,526 158,939 $15.18M
T1016 Case management, each 15 minutes 303,416 154,156 $8.53M
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 40,651 6,530 $3.63M
T2022 Case management, per month 3,690 3,396 $3.19M
H0004 Behavioral health counseling and therapy, per 15 minutes 23,562 14,101 $2.13M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32,149 27,162 $1.81M
H0031 Mental health assessment, by non-physician 24,544 23,292 $1.78M
90791 Psychiatric diagnostic evaluation 21,895 19,190 $1.55M
90847 Family psychotherapy with the patient present, 50 minutes 21,403 17,211 $1.22M
90832 Psychotherapy, 30 minutes with patient 25,920 20,470 $890K
90837 Psychotherapy, 53 minutes with patient 8,536 5,587 $623K
90846 Family psychotherapy without the patient present, 50 minutes 9,651 8,082 $549K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,885 8,452 $371K
H0038 Self-help/peer services, per 15 minutes 5,684 2,501 $328K
H0005 Alcohol and/or drug services; group counseling by a clinician 13,377 5,611 $314K
80305 30,359 16,952 $294K
90792 Psychiatric diagnostic evaluation with medical services 2,766 2,560 $241K
99205 Prolong outpt/office vis 1,390 1,213 $185K
H0034 Medication training and support, per 15 minutes 6,431 4,848 $166K
99215 Prolong outpt/office vis 1,234 872 $106K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 977 842 $87K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,159 2,963 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 870 744 $22K
36415 Collection of venous blood by venipuncture 5,091 4,279 $11K
99000 2,875 1,933 $5K
T2003 Non-emergency transportation; encounter/trip 413 136 $4K
H2035 Alcohol and/or other drug treatment program, per hour 46 35 $2K
T2004 Non-emergency transport; commercial carrier, multi-pass 335 95 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 163 147 $1K
T2022H 211 205 $0.00
T2011 Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation 42 39 $0.00
H004 Assert comm tx pgm per diem 39 34 $0.00
90899 69 12 $0.00