Mental Health Systems, INC.
Mental Health Systems, INC. was paid $6.53M by Medicaid between Jan 2018 and Jun 2024, across 11 billing codes. Its largest line is H2010, Comprehensive medication services, per 15 minutes — 37% of everything it billed.
SAN DIEGO, CA 92123
Next to other Community/Behavioral Health Agency providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,764 | $1.03M | |
| 2019 | 6,595 | $1.32M | |
| 2020 | 4,206 | $824K | |
| 2021 | 4,532 | $1.09M | |
| 2022 | 3,236 | $835K | |
| 2023 | 4,777 | $973K | |
| 2024incomplete | 2,238 | $457K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2010 | Comprehensive medication services, per 15 minutes | 37% | 8,719 | 3,329 | $2.42M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 29% | 8,583 | 3,152 | $1.87M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 21% | 11,244 | 4,565 | $1.36M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 7.6% | 1,595 | 1,130 | $494K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 327 | 309 | $175K |
| H0032 | Mental health service plan development by non-physician | 1.7% | 266 | 254 | $109K |
| H0034 | Medication training and support, per 15 minutes | <1% | 264 | 213 | $41K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 213 | 171 | $25K |
| H0031 | Mental health assessment, by non-physician | <1% | 108 | 95 | $15K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 14 | 13 | $5K |
| 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) | <1% | 15 | 15 | $4K |
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.
Who's on the registration
| Provider | Location | 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. | Escondido, CA | $5.81M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.