Medicaid Provider Spending

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

STANISLAUS COUNTY BHRS

NPI: 1689744492 · MODESTO, CA 95350 · Community/Behavioral Health Agency · NPI assigned 11/09/2006

$163.52M
Total Medicaid Paid
877,310
Total Claims
302,893
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDEGETTE, RICHARD (BEHAVIORAL HEALTH DIRECTOR)
Parent OrganizationSTANISLAUS COUNTY BHRS
NPI Enumeration Date11/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 137,413 $27.28M
2019 144,131 $28.67M
2020 152,325 $25.76M
2021 146,686 $25.37M
2022 148,437 $27.58M
2023 101,063 $19.46M
2024 47,255 $9.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2015 Comprehensive community support services, per 15 minutes 151,648 53,598 $36.53M
H2013 Psychiatric health facility service, per diem 22,270 4,935 $24.89M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 155,930 57,642 $20.29M
H2017 Psychosocial rehabilitation services, per 15 minutes 83,558 30,924 $18.94M
H0004 Behavioral health counseling and therapy, per 15 minutes 195,935 60,576 $17.65M
H2010 Comprehensive medication services, per 15 minutes 62,499 33,635 $10.54M
T1017 Targeted case management, each 15 minutes 56,516 24,020 $9.59M
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 40,499 2,600 $6.07M
H0032 Mental health service plan development by non-physician 21,661 16,959 $5.55M
S9484 Crisis intervention mental health services, per hour 1,066 902 $4.06M
H2011 Crisis intervention service, per 15 minutes 4,368 2,781 $2.76M
H0005 Alcohol and/or drug services; group counseling by a clinician 36,562 6,145 $2.55M
H2019 Therapeutic behavioral services, per 15 minutes 7,796 1,074 $2.50M
S5000 Prescription drug, generic 26,187 1,202 $767K
H0006 Alcohol and/or drug services; case management 4,510 3,308 $247K
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 254 12 $214K
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 3,003 600 $168K
H0012 Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) 225 53 $90K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 307 219 $66K
90837 Psychotherapy, 53 minutes with patient 905 410 $31K
H0049 Alcohol and/or drug screening 181 111 $17K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 93 86 $13K
G2011 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes 94 70 $4K
90791 Psychiatric diagnostic evaluation 42 42 $3K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 12 12 $2K
90832 Psychotherapy, 30 minutes with patient 122 82 $0.00
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) 212 159 $0.00
99215 Prolong outpt/office vis 98 86 $0.00
H0034 Medication training and support, per 15 minutes 128 114 $0.00
99205 Prolong outpt/office vis 35 35 $0.00
90792 Psychiatric diagnostic evaluation with medical services 14 14 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 42 35 $0.00
H0033 Oral medication administration, direct observation 78 73 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 166 147 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 109 102 $0.00
90834 Psychotherapy, 45 minutes with patient 185 130 $0.00