Medicaid Provider Spending

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

MENTAL HEALTH SYSTEMS, INC.

NPI: 1649796012 · OCEANSIDE, CA 92054 · Community/Behavioral Health Agency · NPI assigned 08/17/2017

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

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

$5.51M
Total Medicaid Paid
32,726
Total Claims
13,949
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialCALLAGHAN, JAMES (PRESIDENT/CEO)
NPI Enumeration Date08/17/2017

Related Entities

Other providers sharing the same authorized official: CALLAGHAN, JAMES

ProviderCityStateTotal Paid
MENTAL HEALTH SYSTEMS, INC. OCEANSIDE CA $13.38M
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. 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 5,816 $731K
2019 5,971 $789K
2020 5,771 $1.05M
2021 3,622 $689K
2022 3,520 $805K
2023 5,075 $988K
2024 2,951 $458K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 8,012 3,435 $2.04M
T1017 Targeted case management, each 15 minutes 13,033 4,749 $1.36M
H2017 Psychosocial rehabilitation services, per 15 minutes 7,030 2,990 $1.33M
H2015 Comprehensive community support services, per 15 minutes 2,493 1,390 $283K
H0038 Self-help/peer services, per 15 minutes 1,149 581 $168K
99215 Prolong outpt/office vis 183 135 $118K
H0032 Mental health service plan development by non-physician 265 260 $110K
H0034 Medication training and support, per 15 minutes 381 263 $67K
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) 93 74 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47 35 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 12 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $4K
H0031 Mental health assessment, by non-physician 14 13 $2K