Medicaid Provider Spending

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

MENTAL HEALTH SYSTEMS, INC.

NPI: 1740846542 · SAN DIEGO, CA 92120 · Community Health Clinic/Center · NPI assigned 05/16/2019

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

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

$4.39M
Total Medicaid Paid
14,315
Total Claims
8,687
Beneficiaries
15
Codes Billed
2019-09
First Month
2024-06
Last Month

Provider Details

Authorized OfficialCALLAGHAN, JAMES (PRESIDENT/CEO)
NPI Enumeration Date05/16/2019

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. OCEANSIDE CA $5.51M
MENTAL HEALTH SYSTEMS, INC. SANTEE CA $4.70M
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
2019 400 $139K
2020 2,709 $680K
2021 3,468 $1.05M
2022 3,053 $1.00M
2023 2,385 $768K
2024 2,300 $759K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2015 Comprehensive community support services, per 15 minutes 5,310 2,647 $1.85M
H2010 Comprehensive medication services, per 15 minutes 5,134 3,237 $1.30M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 545 532 $317K
90837 Psychotherapy, 53 minutes with patient 709 458 $234K
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) 393 288 $183K
H0032 Mental health service plan development by non-physician 536 532 $119K
T1017 Targeted case management, each 15 minutes 509 322 $113K
H0038 Self-help/peer services, per 15 minutes 550 208 $107K
99215 Prolong outpt/office vis 102 91 $56K
90834 Psychotherapy, 45 minutes with patient 215 129 $50K
H2017 Psychosocial rehabilitation services, per 15 minutes 81 47 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21 21 $17K
90792 Psychiatric diagnostic evaluation with medical services 57 57 $12K
90791 Psychiatric diagnostic evaluation 106 102 $10K
90853 Group psychotherapy (other than of a multiple-family group) 47 16 $915.75