Physician
Northeast Guidance Center
Northeast Guidance Center was paid $29.95M by Medicaid between Jan 2018 and Sep 2021, across 30 billing codes. Its largest line is H0039, Assertive community treatment, face-to-face, per 15 minutes — 19% of everything it billed.
33Billing provider infoNORTHEAST GUIDANCE CENTER
DETROIT, MI 48215
DETROIT, MI 48215
33aNPI1922037134assigned 07/01/2006
33bProvider typePsychiatry Physician
28Total paid$29.95M
24GClaims161,705
24DCodes billed30
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Psychiatry Physician providers in Michigan
Rank by total paid#2 of 110
Median peer was paid$40K
This provider vs. median754×
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 | 46,346 | $8.83M | |
| 2019 | 41,748 | $8.30M | |
| 2020 | 46,877 | $8.48M | |
| 2021 | 26,734 | $4.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 19% | 31,083 | 3,505 | $5.71M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 18% | 13,258 | 3,952 | $5.40M |
| H0032 | Mental health service plan development by non-physician | 11% | 21,144 | 16,895 | $3.39M |
| T1016 | Case management, each 15 minutes | 10% | 7,694 | 5,526 | $3.00M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 8.5% | 8,757 | 5,918 | $2.55M |
| H0031 | Mental health assessment, by non-physician | 8.2% | 14,556 | 12,414 | $2.46M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 18,384 | 17,580 | $1.84M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.5% | 6,626 | 4,985 | $1.04M |
| H2030 | Mental health clubhouse services, per 15 minutes | 2.8% | 7,579 | 859 | $845K |
| H2021 | Community-based wrap-around services, per 15 minutes | 2.3% | 1,102 | 331 | $697K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.5% | 3,336 | 2,981 | $436K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.4% | 1,844 | 1,823 | $411K |
18 more codes
| H2023 | Supported employment, per 15 minutes | 1.3% | 1,550 | $377K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.0% | 2,543 | $312K |
| 90832 | Psychotherapy session, about 30 minutes | 1.0% | 4,254 | $311K |
| S5111 | Home care training, family; per session | <1% | 1,759 | $266K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,931 | $197K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 782 | $135K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,228 | $114K |
| T1001 | Nursing assessment / evaluation | <1% | 766 | $94K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,626 | $87K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,420 | $82K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,679 | $71K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 2,184 | $67K |
| T1002 | Rn services, up to 15 minutes | <1% | 1,510 | $59K |
| 96137 | <1% | 23 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 99442 | <1% | 43 | $2K | |
| 99443 | <1% | 16 | $1K | |
| 99441 | <1% | 15 | $484.35 |
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 officialNEDERLANDER, SUE (CHIEF FINANCIAL OFFICE)