Medicaid Provider Spending

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

COUNTY OF TUOLUMNE

NPI: 1366618035 · SONORA, CA 95370 · Community/Behavioral Health Agency · NPI assigned 05/02/2008

$23.92M
Total Medicaid Paid
86,567
Total Claims
44,880
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMARISCAL, TAMI (BEHAVIORAL HEALTH DIRECTOR)
NPI Enumeration Date05/02/2008

Related Entities

Other providers sharing the same authorized official: MARISCAL, TAMI

ProviderCityStateTotal Paid
COUNTY OF TUOLUMNE SONORA CA $256K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,318 $3.01M
2019 13,138 $2.95M
2020 11,715 $3.67M
2021 10,245 $3.65M
2022 13,093 $4.64M
2023 15,688 $4.08M
2024 9,370 $1.92M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 16,365 5,175 $5.33M
H2015 Comprehensive community support services, per 15 minutes 16,301 9,378 $4.99M
H2010 Comprehensive medication services, per 15 minutes 22,494 11,013 $4.75M
H2011 Crisis intervention service, per 15 minutes 4,834 2,885 $3.73M
T1017 Targeted case management, each 15 minutes 8,201 4,796 $1.60M
H0032 Mental health service plan development by non-physician 6,705 4,433 $1.11M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 831 804 $618K
90837 Psychotherapy, 53 minutes with patient 1,248 857 $431K
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) 971 853 $389K
90834 Psychotherapy, 45 minutes with patient 928 712 $243K
H0034 Medication training and support, per 15 minutes 2,035 1,470 $215K
90839 415 280 $121K
99215 Prolong outpt/office vis 85 80 $88K
T2024 Service assessment/plan of care development, waiver 72 71 $68K
90791 Psychiatric diagnostic evaluation 545 540 $65K
90832 Psychotherapy, 30 minutes with patient 279 253 $50K
H0005 Alcohol and/or drug services; group counseling by a clinician 2,349 394 $31K
90792 Psychiatric diagnostic evaluation with medical services 100 100 $31K
90840 109 96 $29K
T2021 Day habilitation, waiver; per 15 minutes 20 14 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 14 $8K
H0004 Behavioral health counseling and therapy, per 15 minutes 370 206 $6K
G2011 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes 255 207 $3K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 164 146 $2K
H0033 Oral medication administration, direct observation 16 15 $2K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 13 13 $0.00
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 802 33 $0.00
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 46 42 $0.00