Behavioral
Pacific Health Systems, L.P.
Pacific Health Systems, L.P. was paid $1.85M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 69% of everything it billed.
33Billing provider infoPACIFIC HEALTH SYSTEMS, L.P.
NATIONAL CITY, CA 91950
NATIONAL CITY, CA 91950
33aNPI1669486429assigned 07/28/2006
33bProvider typeMental Health Counselor
28Total paid$1.85M
24GClaims69,556
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Counselor providers in California
Rank by total paid#24 of 439
Median peer was paid$67K
This provider vs. median28×
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 | 3,091 | $95K | |
| 2019 | 10,791 | $332K | |
| 2020 | 12,691 | $365K | |
| 2021 | 10,633 | $280K | |
| 2022 | 10,964 | $276K | |
| 2023 | 12,893 | $292K | |
| 2024incomplete | 8,493 | $211K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 69% | 49,291 | 8,648 | $1.28M |
| 99222 | Initial hospital care, per day, moderate complexity | 22% | 6,218 | 5,824 | $399K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 5,042 | 4,851 | $81K |
| 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 | 1.5% | 2,242 | 2,149 | $27K |
| 99335 | <1% | 2,623 | 2,550 | $16K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 784 | 650 | $10K |
| 99348 | <1% | 1,383 | 1,369 | $7K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 177 | 170 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 128 | 98 | $6K |
| 99443 | <1% | 109 | 106 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 489 | 461 | $3K |
| 99442 | <1% | 97 | 89 | $3K |
8 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 495 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 97 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 112 | $1K |
| 99307 | <1% | 104 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 63 | $668.01 |
| 99223 | Prolong inpt eval add15 m | <1% | 25 | $369.56 |
| 99304 | <1% | 52 | $300.88 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $79.30 |
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 officialBHATIA, PRAKASH (LIMITED PARTNER)