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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSaginaw Psychological Services, Inc.
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    Saginaw Psychological Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1821163882 · Saginaw, MI · Psychologist

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    Saginaw Psychological Services, Inc. is a psychologist provider located in Saginaw, Michigan. This profile covers 0 Medicare and 40 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSaginaw Psychological Services, Inc.
    Address2100 Hemmeter Rd
    CitySaginaw
    StateMI
    ZIP48603
    TaxonomyPsychologist
    NPI EnumeratedNovember 22, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$28.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1017Targeted case management, each 15 minutes72,780$150$10.9M
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…77,840$80$5.9M
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…28,250$100$2.7M
    H0038Self‑help/peer services, per 15 minutes17,660$60$1.1M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…14,090$80$1.1M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…21,500$40$946K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…13,790$60$869K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.5,920$110$621.8K
    H0004Behavioral health counseling and therapy, per 15 minutes6,400$90$575.6K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…9,840$60$551K

    Showing 1–10 of 40

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    40 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1017Targeted case management, each 15 minutes2618010,890$210$8.1M
    T1016Case management, each 15 minutes841208,060$210$3.4M
    H2019Therapeutic behavioral services, per 15 minutes20303,330$200$1.6M
    H0032Mental health service plan development by non-physician1031802,030$170$1.2M
    H0031Mental health assessment, by non-physician651801,290$250$1.1M
    H0038Self‑help/peer services, per 15 minutes281902,210$70$754.1K
    S5111Home care training, family; per session81801,460$160$664.5K
    T1002Rn services, up to 15 minutes371101,160$130$508.1K
    H2034Alcohol and/or drug abuse halfway house services, per diem11403,720$50$426.4K
    H0002Behavioral health screening to determine eligibility for admission to treatment program34100550$120$382.3K

    Showing 1–10 of 40

    Nearby Providers

    Other providers in the same ZIP code as Saginaw Psychological Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A & D Home Health Care, Inc.MIHome Health Agency$0$40.4M
    Saginaw Valley Centers, Inc.MIProfessional Counselor$0$11.8M
    Covenant Medical Center, Inc.MIUrgent Care Clinic/Center$0$10.9M
    Valley Organization For Improved Communication And EqualityMIIn Home Supportive Care Agency$0$8.4M
    Advanced Diagnostic Imaging PCMIDiagnostic Radiology Physician$0$8.1M
    Training And Treatment Innovations IncMICommunity/Behavioral Health Agency$0$7.6M
    Michigan Urine Toxicology And Research LLCMIClinical Medical Laboratory$125.9K$860.6K
    David StockmanMIDermatopathology Physician$570.4K$0
    Great Lakes Eye Surgery Center LLCMIAmbulatory Surgical Clinic/Center$442.5K$126.9K
    Nicholas ShokoohiMIOphthalmology Physician$449.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Michigan Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Saginaw Psychological Services, Inc. — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan