Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

NPI: 1013119569 · SAN DIEGO, CA 92173 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 06/05/2007

$3.52M
Total Medicaid Paid
15,103
Total Claims
8,591
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialWALLACE, BRIAN (VP/CFO)
NPI Enumeration Date06/05/2007

Related Entities

Other providers sharing the same authorized official: WALLACE, BRIAN

ProviderCityStateTotal Paid
RAINIER ANESTHESIA ASSOCIATES PC PUYALLUP WA $153K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,098 $588K
2019 2,387 $468K
2020 2,605 $472K
2021 1,513 $373K
2022 1,450 $432K
2023 2,861 $846K
2024 1,189 $337K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2015 Comprehensive community support services, per 15 minutes 10,139 5,076 $2.30M
H2017 Psychosocial rehabilitation services, per 15 minutes 1,548 868 $305K
90847 Family psychotherapy with the patient present, 50 minutes 729 511 $219K
H0032 Mental health service plan development by non-physician 476 466 $136K
90837 Psychotherapy, 53 minutes with patient 364 262 $131K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 260 208 $121K
90834 Psychotherapy, 45 minutes with patient 430 332 $115K
T1017 Targeted case management, each 15 minutes 571 436 $60K
H0038 Self-help/peer services, per 15 minutes 211 98 $52K
H2010 Comprehensive medication services, per 15 minutes 101 100 $39K
90832 Psychotherapy, 30 minutes with patient 134 108 $24K
90791 Psychiatric diagnostic evaluation 125 113 $11K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 15 13 $1K