Agency
Stanislaus County BHRS
Stanislaus County BHRS was paid $163.52M by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 22% of everything it billed.
33Billing provider infoSTANISLAUS COUNTY BHRS
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1689744492assigned 11/09/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$163.52M
24GClaims877,310
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in California
Rank by total paid#6 of 633
Median peer was paid$779K
This provider vs. median210×
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 | 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 | |
| 2024incomplete | 47,255 | $9.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 22% | 151,648 | 53,598 | $36.53M |
| H2013 | Psychiatric health facility service, per diem | 15% | 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) | 12% | 155,930 | 57,642 | $20.29M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 12% | 83,558 | 30,924 | $18.94M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 11% | 195,935 | 60,576 | $17.65M |
| H2010 | Comprehensive medication services, per 15 minutes | 6.4% | 62,499 | 33,635 | $10.54M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 5.9% | 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 | 3.7% | 40,499 | 2,600 | $6.07M |
| H0032 | Mental health service plan development by non-physician | 3.4% | 21,661 | 16,959 | $5.55M |
| S9484 | Crisis intervention mental health services, per hour | 2.5% | 1,066 | 902 | $4.06M |
| H2011 | Crisis intervention service, per 15 minutes | 1.7% | 4,368 | 2,781 | $2.76M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1.6% | 36,562 | 6,145 | $2.55M |
24 more codes
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 1.5% | 7,796 | $2.50M |
| S5000 | Prescription drug, generic | <1% | 26,187 | $767K |
| H0006 | Alcohol and/or drug services; case management | <1% | 4,510 | $247K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | <1% | 254 | $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 | <1% | 3,003 | $168K |
| H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | <1% | 225 | $90K |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | <1% | 307 | $66K |
| 90837 | Psychotherapy session, about an hour | <1% | 905 | $31K |
| H0049 | Alcohol and/or drug screening | <1% | 181 | $17K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 93 | $13K |
| G2011 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes | <1% | 94 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 42 | $3K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 12 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 122 | $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) | 0% | 212 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 98 | $0.00 |
| H0034 | Medication training and support, per 15 minutes | 0% | 128 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 35 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 14 | $0.00 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 42 | $0.00 |
| H0033 | Oral medication administration, direct observation | 0% | 78 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 166 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 109 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 185 | $0.00 |
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 officialDEGETTE, RICHARD (BEHAVIORAL HEALTH DIRECTOR)
Parent organizationSTANISLAUS COUNTY BHRS