Agency
Macomb Family Services, INC.
Macomb Family Services, INC. was paid $20.25M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 30% of everything it billed.
33Billing provider infoMACOMB FAMILY SERVICES, INC.
CLINTON TOWNSHIP, MI 48036
CLINTON TOWNSHIP, MI 48036
33aNPI1831190701assigned 08/02/2005
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$20.25M
24GClaims115,330
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Michigan
Rank by total paid#10 of 59
Median peer was paid$4.25M
This provider vs. median4.8×
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 | 6,691 | $486K | |
| 2019 | 9,865 | $3.19M | |
| 2020 | 11,182 | $3.53M | |
| 2021 | 20,593 | $3.23M | |
| 2022 | 22,290 | $3.21M | |
| 2023 | 23,959 | $3.50M | |
| 2024incomplete | 20,750 | $3.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 30% | 7,920 | 2,253 | $6.07M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 23% | 52,484 | 724 | $4.74M |
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 20% | 7,876 | 2,253 | $4.11M |
| H0043 | Supported housing, per diem | 9.3% | 775 | 303 | $1.88M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.3% | 19,644 | 10,692 | $1.48M |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | 3.7% | 7,883 | 4,403 | $739K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.8% | 9,586 | 6,058 | $564K |
| H0001 | Alcohol and/or drug assessment | 1.4% | 1,894 | 1,892 | $291K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 4,145 | 3,998 | $186K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,145 | 1,138 | $104K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,531 | 1,298 | $60K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 136 | 124 | $11K |
5 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 71 | $6K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 54 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 114 | $3K |
| H0032 | Mental health service plan development by non-physician | <1% | 29 | $3K |
| H0006 | Alcohol and/or drug services; case management | <1% | 43 | $2K |
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 officialPFAENDTNER, OWEN (PRESIDENT/CEO)