Medicaid Provider Spending

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

MENTAL HEALTH SYSTEMS, INC.

NPI: 1023190584 · ESCONDIDO, CA 92025 · Adult Mental Health Clinic/Center · NPI assigned 10/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CALLAGHAN, JAMES controls 17+ related entities in our dataset. Read more

$5.81M
Total Medicaid Paid
20,215
Total Claims
11,888
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialCALLAGHAN, JAMES (PRESIDENT/CEO)
NPI Enumeration Date10/20/2006

Related Entities

Other providers sharing the same authorized official: CALLAGHAN, JAMES

ProviderCityStateTotal Paid
MENTAL HEALTH SYSTEMS, INC. OCEANSIDE CA $13.38M
MENTAL HEALTH SYSTEMS, INC. SAN DIEGO CA $11.98M
MENTAL HEALTH SYSTEMS, INC. ESCONDIDO CA $10.92M
MENTAL HEALTH SYSTEMS, INC. VISTA CA $7.79M
MENTAL HEALTH SYSTEMS, INC. ESCONDIDO CA $7.39M
MENTAL HEALTH SYSTEMS, INC. SAN DIEGO CA $6.53M
MENTAL HEALTH SYSTEMS, INC. OCEANSIDE CA $5.51M
MENTAL HEALTH SYSTEMS, INC. SANTEE CA $4.70M
MENTAL HEALTH SYSTEMS, INC. SAN DIEGO CA $4.39M
MENTAL HEALTH SYSTEMS, INC. ESCONDIDO CA $4.20M
MENTAL HEALTH SYSTEMS, INC. SAN DIEGO CA $3.51M
MENTAL HEALTH SYSTEMS, INC. SAN DIEGO CA $3.07M
MENTAL HEALTH SYSTEMS, INC. SAN DIEGO CA $2.89M
MENTAL HEALTH SYSTEMS, INC. HANFORD CA $346K
MENTAL HEALTH SYSTEMS, INC. RAMONA CA $322K
MENTAL HEALTH SYSTEMS, INC. FALLBROOK CA $244K
MENTAL HEALTH SYSTEMS, INC. SAN DIEGO CA $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,370 $686K
2019 2,836 $725K
2020 2,831 $801K
2021 2,464 $726K
2022 2,986 $1.10M
2023 3,834 $1.16M
2024 1,894 $606K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 9,076 4,999 $2.23M
H2015 Comprehensive community support services, per 15 minutes 3,822 2,052 $1.60M
H2017 Psychosocial rehabilitation services, per 15 minutes 3,042 1,326 $705K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 409 371 $280K
H0034 Medication training and support, per 15 minutes 1,406 1,173 $256K
90837 Psychotherapy, 53 minutes with patient 609 311 $219K
H0032 Mental health service plan development by non-physician 763 757 $163K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 327 313 $137K
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) 312 228 $127K
T1017 Targeted case management, each 15 minutes 155 117 $37K
99215 Prolong outpt/office vis 30 29 $25K
90791 Psychiatric diagnostic evaluation 215 176 $19K
90834 Psychotherapy, 45 minutes with patient 18 12 $5K
H0031 Mental health assessment, by non-physician 13 12 $3K
H0038 Self-help/peer services, per 15 minutes 18 12 $144.72