Behavioral
Sanilac County
Sanilac County was paid $777K by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99402, — 59% of everything it billed.
33Billing provider infoSANILAC COUNTY
SANDUSKY, MI 48471
SANDUSKY, MI 48471
33aNPI1972532711assigned 07/02/2006
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$777K
24GClaims25,971
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Michigan
Rank by total paid#18 of 64
Median peer was paid$218K
This provider vs. median3.6×
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 | 4,590 | $147K | |
| 2019 | 4,446 | $142K | |
| 2020 | 2,704 | $103K | |
| 2021 | 5,115 | $147K | |
| 2022 | 2,944 | $90K | |
| 2023 | 3,468 | $77K | |
| 2024incomplete | 2,704 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99402 | 59% | 6,242 | 5,823 | $456K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 19% | 1,640 | 776 | $146K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.3% | 1,441 | 1,428 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 2,324 | 2,295 | $23K |
| V5008 | Hearing screening | 3.0% | 2,505 | 2,478 | $23K |
| 99172 | 2.7% | 2,282 | 2,275 | $21K | |
| 0012A | 1.9% | 411 | 410 | $15K | |
| 0011A | 1.7% | 455 | 455 | $13K | |
| 36416 | 1.4% | 1,759 | 1,528 | $11K | |
| 0031A | <1% | 208 | 208 | $8K | |
| 83655 | <1% | 738 | 563 | $6K | |
| 85018 | <1% | 3,034 | 2,722 | $6K |
31 more codes
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 49 | $4K |
| 0001A | <1% | 108 | $3K | |
| 0002A | <1% | 76 | $3K | |
| 0064A | <1% | 59 | $2K | |
| 90686 | <1% | 251 | $2K | |
| T2022 | Case management, per month | <1% | 19 | $1K |
| 90715 | <1% | 212 | $1K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 12 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 74 | $883.93 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 21 | $747.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 33 | $662.76 |
| 90651 | <1% | 65 | $544.16 | |
| 0072A | <1% | 14 | $529.90 | |
| 0071A | <1% | 14 | $529.90 | |
| 86580 | <1% | 25 | $133.03 | |
| 90619 | <1% | 46 | $125.00 | |
| 90656 | <1% | 15 | $111.75 | |
| 81025 | <1% | 15 | $106.95 | |
| 91306 | 0% | 59 | $0.00 | |
| 91301 | 0% | 887 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 90677 | 0% | 46 | $0.00 | |
| 91307 | 0% | 30 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 91303 | 0% | 208 | $0.00 | |
| 90670 | 0% | 85 | $0.00 | |
| 91300 | 0% | 235 | $0.00 | |
| 90633 | 0% | 91 | $0.00 | |
| 90685 | 0% | 13 | $0.00 | |
| 90734 | 0% | 116 | $0.00 | |
| 90710 | 0% | 28 | $0.00 |
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 officialSCHAFER, DIANNA (HEALTH OFFICER)