Medicaid Provider Spending

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

MENTAL HEALTH SYSTEMS, INC.

NPI: 1821130881 · SAN DIEGO, CA 92105 · Community/Behavioral Health Agency · NPI assigned 02/13/2007

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

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

$11.98M
Total Medicaid Paid
59,493
Total Claims
26,261
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialCALLAGHAN, JAMES (PRESIDENT/CEO)
NPI Enumeration Date02/13/2007

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. 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. 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 11,456 $2.09M
2019 7,984 $1.42M
2020 8,210 $1.50M
2021 7,455 $1.66M
2022 7,470 $1.97M
2023 11,172 $2.32M
2024 5,746 $1.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2010 Comprehensive medication services, per 15 minutes 17,552 6,324 $4.51M
H2017 Psychosocial rehabilitation services, per 15 minutes 13,160 5,934 $3.31M
T1017 Targeted case management, each 15 minutes 20,585 7,994 $2.15M
H2015 Comprehensive community support services, per 15 minutes 3,153 2,229 $744K
H0034 Medication training and support, per 15 minutes 1,851 1,060 $300K
H0032 Mental health service plan development by non-physician 834 778 $267K
99215 Prolong outpt/office vis 341 296 $238K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 350 307 $199K
H0038 Self-help/peer services, per 15 minutes 842 598 $122K
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) 392 336 $91K
H0031 Mental health assessment, by non-physician 152 140 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 116 109 $16K
90791 Psychiatric diagnostic evaluation 165 156 $12K