Agency
County of San Diego
County of San Diego was paid $642.45M by Medicaid between Jan 2018 and Oct 2024, across 72 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 33% of everything it billed.
33Billing provider infoCOUNTY OF SAN DIEGO
SAN DIEGO, CA 92101
SAN DIEGO, CA 92101
33aNPI1225255375assigned 04/19/2007
33bProvider typeCase Management Agency
28Total paid$642.45M
24GClaims5,455,305
24DCodes billed72
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Case Management Agency providers in California
Rank by total paid#1 of 167
Median peer was paid$395K
This provider vs. median1,625×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 341,008 | $30.06M | |
| 2019 | 615,033 | $58.10M | |
| 2020 | 688,153 | $82.51M | |
| 2021 | 821,420 | $98.97M | |
| 2022 | 1,119,030 | $103.92M | |
| 2023 | 1,247,868 | $158.46M | |
| 2024incomplete | 622,793 | $110.44M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 33% | 1,072,954 | 53,019 | $211.03M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 14% | 609,480 | 266,425 | $90.88M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 11% | 1,362,125 | 166,407 | $67.93M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 9.3% | 707,156 | 106,389 | $59.90M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 7.1% | 456,555 | 137,452 | $45.66M |
| H0006 | Alcohol and/or drug services; case management | 3.8% | 203,034 | 93,420 | $24.28M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 14,737 | 3,258 | $16.92M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 17,346 | 2,957 | $16.12M |
| H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | 2.3% | 51,061 | 7,760 | $14.46M |
| H2010 | Comprehensive medication services, per 15 minutes | 2.0% | 129,305 | 102,405 | $12.54M |
| 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 | 1.5% | 17,617 | 15,902 | $9.36M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 1.2% | 44,523 | 22,025 | $7.83M |
60 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 14,822 | $6.02M |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 10,538 | $5.83M |
| S5000 | Prescription drug, generic | <1% | 461,898 | $5.68M |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 9,470 | $4.93M |
| 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% | 8,190 | $4.73M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 57,833 | $4.35M |
| 0160 | <1% | 339 | $4.30M | |
| 99223 | Prolong inpt eval add15 m | <1% | 1,898 | $3.36M |
| S5001 | Prescription drug, brand name | <1% | 91,069 | $3.24M |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,288 | $2.26M |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,833 | $2.25M |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 8,778 | $2.19M |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 5,413 | $1.75M |
| H2014 | Skills training and development, per 15 minutes | <1% | 16,465 | $1.70M |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | <1% | 5,075 | $1.56M |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 4,784 | $1.32M |
| 99255 | <1% | 607 | $1.21M | |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 8,207 | $1.11M |
| 99254 | <1% | 553 | $843K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 4,233 | $790K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 459 | $667K |
| H0001 | Alcohol and/or drug assessment | <1% | 4,672 | $653K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 843 | $581K |
| 99253 | <1% | 510 | $578K | |
| 99347 | <1% | 910 | $479K | |
| H0033 | Oral medication administration, direct observation | <1% | 26,342 | $472K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 6,445 | $463K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 1,466 | $297K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 980 | $243K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,681 | $241K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 605 | $212K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 523 | $202K |
| 99368 | <1% | 539 | $188K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,360 | $154K |
| 90868 | <1% | 861 | $143K | |
| 99205 | Prolong outpt/office vis | <1% | 95 | $143K |
| H0034 | Medication training and support, per 15 minutes | <1% | 603 | $110K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 960 | $75K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 605 | $70K |
| H0032 | Mental health service plan development by non-physician | <1% | 1,313 | $62K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 383 | $23K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,257 | $21K |
| 99366 | <1% | 59 | $16K | |
| 99348 | <1% | 16 | $8K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 350 | $6K |
| 90867 | <1% | 13 | $4K | |
| 96136 | <1% | 13 | $4K | |
| G2011 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes | <1% | 71 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 97 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $1K |
| 86580 | <1% | 216 | $656.39 | |
| 0001A | <1% | 171 | $588.80 | |
| 0002A | <1% | 126 | $363.55 | |
| 71010 | <1% | 17 | $264.69 | |
| 0011A | <1% | 261 | $252.72 | |
| 0012A | <1% | 162 | $172.87 | |
| 0053A | <1% | 13 | $88.18 | |
| 0013A | <1% | 13 | $80.00 | |
| 99000 | <1% | 21 | $61.36 | |
| H0049 | Alcohol and/or drug screening | 0% | 73 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialTHOMPSON, AMY (EXECUTIVE FINANCE DIRECTOR)