Medicaid Provider Spending

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

NPI: 1437523735 · MARINA, CA 93933 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 11/24/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

90% of spending on code T1017 with only 3 total codes billed. Highly concentrated billing profile.

$1.01M
Total Medicaid Paid
2,439
Total Claims
757
Beneficiaries
3
Codes Billed
2020-08
First Month
2023-05
Last Month

Provider Details

Authorized OfficialSEMO, JOHN (MRT)
NPI Enumeration Date11/24/2015

Related Entities

Other providers sharing the same authorized official: SEMO, JOHN

ProviderCityStateTotal Paid
COUNTY OF MONTEREY BEHAVIORAL HEALTH SALINAS CA $102.81M
COUNTY OF MONTEREY SALINAS CA $74.84M
COUNTY OF MONTEREY MARINA CA $37.00M
COUNTY OF MONTEREY BEHAVIORAL HEALTH SALINAS CA $15.58M
COUNTY OF MONTEREY BEHAVIORAL HEALTH SOLEDAD CA $14.89M
COUNTY OF MONTEREY BEHAVIORAL HEALTH KING CITY CA $9.74M
MONTEREY COUNTY BEHAVIORAL HEALTH SALINAS CA $1.75M
MONTEREY COUNTY BEHAVIORAL HEALTH SALINAS CA $192K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 191 $54K
2021 866 $295K
2022 1,015 $510K
2023 367 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 2,228 598 $913K
H2010 Comprehensive medication services, per 15 minutes 179 132 $92K
H2015 Comprehensive community support services, per 15 minutes 32 27 $9K