Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mental Health Systems, INC.

Mental Health Systems, INC. was paid $13.38M by Medicaid between Jan 2018 and Jun 2024, across 16 billing codes. Its largest line is H2010, Comprehensive medication services, per 15 minutes — 51% of everything it billed.

33Billing provider infoMENTAL HEALTH SYSTEMS, INC.
OCEANSIDE, CA 92058
33aNPI1598847055assigned 10/20/2006
28Total paid$13.38M
24GClaims70,575
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Adult Mental Health Clinic/Center providers in California

Rank by total paid#18 of 99
Median peer was paid$1.44M
This provider vs. median9.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CALLAGHAN, JAMES controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201813,422$2.11M
201912,314$2.28M
202013,369$2.18M
202110,897$1.98M
20228,573$1.88M
20238,140$1.99M
2024incomplete3,860$960K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2010 Comprehensive medication services, per 15 minutes 51% 39,136 21,780 $6.81M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 19% 7,885 5,999 $2.58M
H0032 Mental health service plan development by non-physician 7.6% 3,676 3,663 $1.02M
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 5.6% 10,884 6,572 $744K
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes 4.6% 3,631 1,421 $620K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.0% 809 789 $400K
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) 2.5% 817 580 $333K
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 2.4% 397 392 $316K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.1% 826 817 $285K
H0034 Medication training and support, per 15 minutes <1% 1,080 956 $85K
H0031 Mental health assessment, by non-physician <1% 143 143 $41K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 314 149 $41K
4 more codes
90791 Psychiatric diagnostic evaluation <1% 450 $40K
90792 Psychiatric diagnostic evaluation with medical services <1% 112 $36K
H0038 Self-help/peer services, per 15 minutes <1% 230 $25K
90853 Group psychotherapy (other than of a multiple-family group) <1% 185 $3K

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 officialCALLAGHAN, JAMES (PRESIDENT/CEO)
Same official

Other billing entities under CALLAGHAN, JAMES

Full network →
ProviderLocationPaid
Mental Health Systems, INC.San Diego, CA$11.98M
Mental Health Systems, INC.Escondido, CA$10.92M
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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.