Clinic
CNS Healthcare
CNS Healthcare was paid $214.27M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 41% of everything it billed.
33Billing provider infoCNS HEALTHCARE
NOVI, MI 48375
NOVI, MI 48375
33aNPI1770538068assigned 05/24/2006
28Total paid$214.27M
24GClaims1,218,556
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Michigan
Rank by total paid#3 of 117
Median peer was paid$339K
This provider vs. median632×
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 | 119,764 | $16.18M | |
| 2019 | 111,619 | $12.83M | |
| 2020 | 116,909 | $12.30M | |
| 2021 | 147,267 | $24.27M | |
| 2022 | 233,466 | $50.97M | |
| 2023 | 232,809 | $49.89M | |
| 2024incomplete | 256,722 | $47.82M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 41% | 291,556 | 127,181 | $87.51M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 18% | 284,300 | 211,769 | $38.31M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 7.6% | 119,584 | 15,620 | $16.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 92,676 | 82,826 | $9.52M |
| H2030 | Mental health clubhouse services, per 15 minutes | 3.7% | 65,018 | 7,221 | $7.90M |
| H0038 | Self-help/peer services, per 15 minutes | 3.2% | 55,526 | 44,470 | $6.79M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.0% | 25,596 | 16,493 | $6.38M |
| T1002 | Rn services, up to 15 minutes | 2.4% | 65,778 | 56,443 | $5.08M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 2.0% | 13,275 | 10,372 | $4.23M |
| H0031 | Mental health assessment, by non-physician | 1.6% | 14,906 | 12,533 | $3.40M |
| H0032 | Mental health service plan development by non-physician | 1.5% | 20,897 | 16,061 | $3.23M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.5% | 16,478 | 12,807 | $3.21M |
28 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 34,332 | $2.71M |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 1.3% | 41,957 | $2.70M |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 1.2% | 6,148 | $2.67M |
| 90832 | Psychotherapy session, about 30 minutes | 1.2% | 21,022 | $2.49M |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 3,995 | $1.81M |
| H2023 | Supported employment, per 15 minutes | <1% | 8,091 | $1.80M |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 5,309 | $1.77M |
| 90791 | Psychiatric diagnostic evaluation | <1% | 4,412 | $1.56M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 6,646 | $1.01M |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,297 | $699K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,258 | $674K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 1,232 | $455K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,552 | $423K |
| 99205 | Prolong outpt/office vis | <1% | 1,578 | $417K |
| S5111 | Home care training, family; per session | <1% | 1,843 | $370K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 194 | $257K |
| T2038 | Community transition, waiver; per service | <1% | 353 | $202K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 843 | $140K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 196 | $47K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 295 | $44K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 293 | $34K |
| 99442 | <1% | 1,865 | $26K | |
| H0001 | Alcohol and/or drug assessment | <1% | 135 | $25K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 30 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 44 | $4K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 19 | $2K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 14 | $600.04 |
| 99441 | <1% | 13 | $389.88 |
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 officialBAMMELL, JEROME (VP OF FINANCE)