Medicaid Provider Spending

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

MENTAL HEALTH SYSTEMS, INC.

NPI: 1043732944 · SAN DIEGO, CA 92123 · Community/Behavioral Health Agency · NPI assigned 07/12/2017

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

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

$6.53M
Total Medicaid Paid
31,348
Total Claims
13,246
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialCALLAGHAN, JAMES (PRESIDENT/CEO)
NPI Enumeration Date07/12/2017

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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,238 $457K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 8,719 3,329 $2.42M
H2017 Psychosocial rehabilitation services, per 15 minutes 8,583 3,152 $1.87M
T1017 Targeted case management, each 15 minutes 11,244 4,565 $1.36M
H2015 Comprehensive community support services, per 15 minutes 1,595 1,130 $494K
99215 Prolong outpt/office vis 327 309 $175K
H0032 Mental health service plan development by non-physician 266 254 $109K
H0034 Medication training and support, per 15 minutes 264 213 $41K
H0038 Self-help/peer services, per 15 minutes 213 171 $25K
H0031 Mental health assessment, by non-physician 108 95 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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) 15 15 $4K