Medicaid Provider Spending

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

MENTAL HEALTH SYSTEMS, INC.

NPI: 1285777128 · ESCONDIDO, CA 92025 · Community/Behavioral Health Agency · NPI assigned 02/14/2007

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

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

$10.92M
Total Medicaid Paid
50,772
Total Claims
29,727
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialCALLAGHAN, JAMES (PRESIDENT/CEO)
NPI Enumeration Date02/14/2007

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. 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. 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 10,870 $1.81M
2019 8,462 $1.74M
2020 7,307 $1.68M
2021 7,698 $1.78M
2022 6,171 $1.62M
2023 6,673 $1.48M
2024 3,591 $792K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 27,689 15,584 $5.52M
H2015 Comprehensive community support services, per 15 minutes 7,019 4,174 $2.53M
H2017 Psychosocial rehabilitation services, per 15 minutes 7,352 2,413 $999K
H0032 Mental health service plan development by non-physician 2,097 2,093 $477K
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) 764 543 $255K
H0034 Medication training and support, per 15 minutes 2,235 1,916 $226K
90837 Psychotherapy, 53 minutes with patient 607 295 $214K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 513 499 $208K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 693 671 $186K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 170 163 $85K
90791 Psychiatric diagnostic evaluation 651 559 $59K
90792 Psychiatric diagnostic evaluation with medical services 179 179 $48K
99215 Prolong outpt/office vis 82 80 $47K
T1017 Targeted case management, each 15 minutes 646 500 $46K
90834 Psychotherapy, 45 minutes with patient 75 58 $20K