Medicaid Provider Spending

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

BEHAVIORAL HEALTH SERVICES INC

NPI: 1548659105 · HAWTHORNE, CA 90250 · Community Health Clinic/Center · NPI assigned 01/20/2015

$20.33M
Total Medicaid Paid
532,467
Total Claims
446,304
Beneficiaries
121
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBALLUE, MICHAEL (CHIEF COMPLIANCE OFFICER)
NPI Enumeration Date01/20/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,031 $1.21M
2019 47,152 $1.55M
2020 68,881 $2.91M
2021 90,379 $3.91M
2022 84,883 $3.18M
2023 112,978 $4.56M
2024 103,163 $3.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 148,015 117,782 $18.86M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 72,849 62,411 $820K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,624 12,798 $127K
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 29,713 26,140 $89K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,724 6,460 $70K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,803 1,408 $53K
92081 6,940 6,701 $40K
90834 Psychotherapy, 45 minutes with patient 880 478 $39K
92552 4,843 4,658 $19K
H1001 Prenatal care, at-risk enhanced service; antepartum management 4,661 3,144 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 839 802 $15K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 374 369 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 728 693 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 419 417 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,724 3,699 $13K
90792 Psychiatric diagnostic evaluation with medical services 191 189 $12K
3008F 59,795 52,741 $10K
90837 Psychotherapy, 53 minutes with patient 187 140 $10K
90674 631 624 $10K
99457 1,846 1,846 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 640 599 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 653 612 $7K
97803 2,003 1,955 $5K
94760 10,077 8,394 $5K
90791 Psychiatric diagnostic evaluation 115 104 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 477 434 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 47 46 $4K
90686 1,242 1,196 $3K
99215 Prolong outpt/office vis 502 453 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 196 169 $3K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,905 1,794 $3K
99188 721 649 $2K
99406 904 842 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 239 233 $2K
H1000 Prenatal care, at-risk assessment 84 84 $2K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 1,950 1,838 $2K
90832 Psychotherapy, 30 minutes with patient 277 245 $1K
99458 541 541 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 149 148 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 5,199 5,001 $1K
0012A 25 13 $965.00
93000 174 174 $894.84
90688 406 325 $812.11
90472 Immunization administration, each additional vaccine (list separately) 492 488 $659.56
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 40 39 $654.68
90670 182 167 $628.16
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 519 506 $499.89
90661 105 104 $495.72
99000 1,073 1,060 $424.40
88142 140 140 $410.66
90715 47 47 $374.10
90651 257 245 $312.73
90756 42 42 $302.26
81025 401 394 $201.36
90633 44 44 $189.00
H1003 Prenatal care, at-risk enhanced service; education 210 185 $138.68
99454 209 209 $117.84
90680 24 24 $109.00
90733 85 81 $106.00
97802 32 30 $98.62
99401 103 102 $85.88
59430 36 28 $85.24
85018 255 244 $63.62
1160F 1,941 1,842 $60.00
86703 95 94 $58.58
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 599 327 $58.31
99001 849 838 $56.56
1159F 2,138 2,018 $53.84
99453 57 57 $53.13
3044F 692 692 $48.62
1125F 597 538 $48.00
83036 Hemoglobin; glycosylated (A1C) 160 159 $42.77
96156 129 126 $41.82
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 320 318 $28.62
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13 13 $28.23
96161 278 277 $27.00
90647 13 12 $27.00
90697 13 13 $27.00
81003 353 331 $25.44
90685 41 30 $18.00
82270 33 33 $17.52
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 131 130 $14.44
86803 64 61 $12.57
86704 45 45 $10.71
81002 14 14 $9.70
86706 57 57 $9.51
G0444 Annual depression screening, 5 to 15 minutes 2,119 2,070 $1.66
3078F 1,356 1,263 $0.08
3074F 1,492 1,385 $0.05
4010F 348 345 $0.00
36415 Collection of venous blood by venipuncture 1,935 1,914 $0.00
0500F 509 499 $0.00
Z1032 151 151 $0.00
0501F 159 143 $0.00
3079F 127 123 $0.00
Z1034 2,126 1,509 $0.00
3048F 59 59 $0.00
1111F 135 135 $0.00
99385 12 12 $0.00
90656 46 45 $0.00
0503F 28 28 $0.00
99386 12 12 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 77 77 $0.00
3075F 13 12 $0.00
0001F 17 17 $0.00
3061F 14 14 $0.00
90620 12 12 $0.00
3017F 14 13 $0.00
91301 12 12 $0.00
P3000 Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision 12 12 $0.00
18 F18 fdg 112,815 90,029 $0.00
0502F 5,760 4,048 $0.00
3077F 78 69 $0.00
3725F 601 563 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 24 24 $0.00
99173 15 15 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $0.00
3015F 53 53 $0.00
G9016 Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] 29 29 $0.00
90863 42 35 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 13 12 $0.00