Clinic
County of Monterey
County of Monterey was paid $74.84M by Medicaid between Jan 2018 and May 2024, across 24 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 34% of everything it billed.
33Billing provider infoCOUNTY OF MONTEREY
SALINAS, CA 93906
SALINAS, CA 93906
33aNPI1467584805assigned 03/12/2007
33bProvider typeAdult Mental Health Clinic/Center
28Total paid$74.84M
24GClaims219,069
24DCodes billed24
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Adult Mental Health Clinic/Center providers in California
Rank by total paid#6 of 99
Median peer was paid$1.44M
This provider vs. median52×
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 | 34,720 | $10.05M | |
| 2019 | 36,177 | $9.77M | |
| 2020 | 38,438 | $12.02M | |
| 2021 | 32,020 | $11.42M | |
| 2022 | 29,999 | $14.75M | |
| 2023 | 33,109 | $12.12M | |
| 2024incomplete | 14,606 | $4.72M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 34% | 102,068 | 45,835 | $25.25M |
| H2010 | Comprehensive medication services, per 15 minutes | 26% | 44,039 | 33,088 | $19.27M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 19% | 27,744 | 17,625 | $13.85M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 8.1% | 22,235 | 10,040 | $6.10M |
| H0032 | Mental health service plan development by non-physician | 3.4% | 5,485 | 4,688 | $2.54M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 1,836 | 1,686 | $1.94M |
| 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 | 2.1% | 1,987 | 1,858 | $1.60M |
| H2011 | Crisis intervention service, per 15 minutes | 1.9% | 4,417 | 1,870 | $1.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 1,361 | 1,279 | $796K |
| 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% | 1,802 | 1,442 | $668K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,128 | 678 | $431K |
| H0034 | Medication training and support, per 15 minutes | <1% | 1,925 | 1,677 | $350K |
12 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 663 | $238K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,323 | $118K |
| H0031 | Mental health assessment, by non-physician | <1% | 335 | $101K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 268 | $82K |
| 90887 | <1% | 202 | $67K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 89 | $13K |
| 90839 | <1% | 29 | $8K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 12 | $7K |
| 99368 | <1% | 14 | $5K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 64 | $5K |
| 96127 | <1% | 13 | $1K | |
| 90785 | <1% | 30 | $462.00 |
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 officialSEMO, JOHN (QUALITY IMPROVEMNET)
| Provider | Location | Paid |
|---|---|---|
| County of Monterey Behavioral Health | Salinas, CA | $102.81M |
| 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 | Marina, CA | $1.01M |
| Monterey County Behavioral Health | Salinas, CA | $192K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.