Medicaid Provider Spending

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

MENTAL HEALTH SYSTEMS, INC.

NPI: 1598847055 · OCEANSIDE, CA 92058 · Adult Mental Health Clinic/Center · NPI assigned 10/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CALLAGHAN, JAMES controls 17+ related entities in our dataset. Read more

$13.38M
Total Medicaid Paid
70,575
Total Claims
44,033
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialCALLAGHAN, JAMES (PRESIDENT/CEO)
NPI Enumeration Date10/20/2006

Related Entities

Other providers sharing the same authorized official: CALLAGHAN, JAMES

ProviderCityStateTotal Paid
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,422 $2.11M
2019 12,314 $2.28M
2020 13,369 $2.18M
2021 10,897 $1.98M
2022 8,573 $1.88M
2023 8,140 $1.99M
2024 3,860 $960K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 39,136 21,780 $6.81M
H2015 Comprehensive community support services, per 15 minutes 7,885 5,999 $2.58M
H0032 Mental health service plan development by non-physician 3,676 3,663 $1.02M
T1017 Targeted case management, each 15 minutes 10,884 6,572 $744K
H2017 Psychosocial rehabilitation services, per 15 minutes 3,631 1,421 $620K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 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) 817 580 $333K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 397 392 $316K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 826 817 $285K
H0034 Medication training and support, per 15 minutes 1,080 956 $85K
H0031 Mental health assessment, by non-physician 143 143 $41K
90837 Psychotherapy, 53 minutes with patient 314 149 $41K
90791 Psychiatric diagnostic evaluation 450 448 $40K
90792 Psychiatric diagnostic evaluation with medical services 112 112 $36K
H0038 Self-help/peer services, per 15 minutes 230 143 $25K
90853 Group psychotherapy (other than of a multiple-family group) 185 69 $3K