Behavioral
Department of Behavioral Health
Department of Behavioral Health was paid $166.25M by Medicaid between Jan 2018 and Jun 2024, across 24 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 32% of everything it billed.
33Billing provider infoDEPARTMENT OF BEHAVIORAL HEALTH
FRESNO, CA 93702
FRESNO, CA 93702
33aNPI1629137575assigned 12/06/2006
33bProvider typeClinical Social Worker
28Total paid$166.25M
24GClaims3,936,771
24DCodes billed24
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Clinical Social Worker providers in California
Rank by total paid#1 of 591
Median peer was paid$50K
This provider vs. median3,352×
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 | 672,306 | $15.66M | |
| 2019 | 732,877 | $22.26M | |
| 2020 | 529,037 | $18.64M | |
| 2021 | 572,996 | $21.91M | |
| 2022 | 554,539 | $24.32M | |
| 2023 | 588,830 | $38.45M | |
| 2024incomplete | 286,186 | $25.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 32% | 362,463 | 147,217 | $53.00M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 27% | 2,963,374 | 112,530 | $45.58M |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 26% | 258,446 | 14,716 | $42.71M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 7.7% | 224,232 | 38,578 | $12.86M |
| H0006 | Alcohol and/or drug services; case management | 2.5% | 26,891 | 15,198 | $4.16M |
| S5000 | Prescription drug, generic | <1% | 50,576 | 2,533 | $1.53M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 5,255 | 2,472 | $1.50M |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | <1% | 4,285 | 3,135 | $1.36M |
| H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | <1% | 4,903 | 1,057 | $879K |
| S5001 | Prescription drug, brand name | <1% | 26,537 | 1,086 | $871K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | <1% | 3,319 | 1,119 | $775K |
| H0001 | Alcohol and/or drug assessment | <1% | 2,054 | 2,033 | $375K |
12 more codes
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 978 | $307K |
| H0007 | Alcohol and/or drug services; crisis intervention (outpatient) | <1% | 264 | $84K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 1,910 | $79K |
| H2035 | Alcohol and/or other drug treatment program, per hour | <1% | 162 | $53K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 100 | $31K |
| H2014 | Skills training and development, per 15 minutes | <1% | 49 | $28K |
| 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% | 161 | $26K |
| 90885 | <1% | 644 | $19K | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 113 | $19K |
| H0049 | Alcohol and/or drug screening | <1% | 15 | $7K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 25 | $5K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 15 | $2K |
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 officialUTECHT, DAWAN (MENTAL HEALTH DIRECTOR)