Is COUNTY OF MONTEREY BEHAVIORAL HEALTH flagged for Medicaid fraud?

COUNTY OF MONTEREY BEHAVIORAL HEALTH (NPI: 1073645586) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COUNTY OF MONTEREY BEHAVIORAL HEALTH bill Medicaid?

COUNTY OF MONTEREY BEHAVIORAL HEALTH received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Psychologist, Clinical Child & Adolescent provider. Located in SALINAS, CA.

What is NPI 1073645586?

NPI 1073645586 is the National Provider Identifier for COUNTY OF MONTEREY BEHAVIORAL HEALTH. They are a Psychologist, Clinical Child & Adolescent provider based in SALINAS, CA. This NPI is registered with the CMS NPI Registry.

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COUNTY OF MONTEREY BEHAVIORAL HEALTH

Psychologist, Clinical Child & Adolescent·SALINAS, CA·NPI: 1073645586Share

Active Billing Period:2018-01→2024-05(77 months)

Billing appears to have stoppedLast active: 2024-05

Total Paid

$41.0M

$41,045,222

Total Claims

116K

Beneficiaries

48K

2.4 claims/patient

Avg Cost/Claim

$354

Monthly Spending Trend

Yearly Spending

2018

$9.0M

-17%

2019

$7.5M

-3%

2020

$7.2M

-19%

2021

$5.8M

+1%

2022

$5.9M

-27%

2023

$4.3M

-67%

2024

$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 54% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2015Comprehensive community support services, per 15 minSee all providers →

$22.2M

44K claims

$501.04

$96.24

5.2×

Top 5%

H2015Top 5%

Comprehensive community support services, per 15 min

$22.2M

44K claims · 54.1%

Your Cost: $501.04/claim|Median: $96.24

5.2× median

T1017Targeted case management, per 15 minSee all providers →

$11.9M

51K claims

$231.79

$69.56

3.3×

Top 25%

T1017Top 25%

Targeted case management, per 15 min

$11.9M

51K claims · 28.9%

Your Cost: $231.79/claim|Median: $69.56

3.3× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$3.4M

9,142 claims

$375.73

$91.63

4.1×

Top 5%

H2017Top 5%

Psychosocial rehabilitation services, per 15 min

$3.4M

9,142 claims · 8.4%

Your Cost: $375.73/claim|Median: $91.63

4.1× median

H0032Mental health service plan developmentSee all providers →

$1.7M

5,026 claims

$328.60

$80.64

4.1×

Top 5%

H0032Top 5%

Mental health service plan development

$1.7M

5,026 claims · 4.0%

Your Cost: $328.60/claim|Median: $80.64

4.1× median

90837Psychotherapy, 60 minutesSee all providers →

$870K

2,458 claims

$353.84

$85.66

4.1×

Top 1%

90837Top 1%

Psychotherapy, 60 minutes

$870K

2,458 claims · 2.1%

Your Cost: $353.84/claim|Median: $85.66

4.1× median

H2010Comprehensive medication services, per 15 minSee all providers →

$391K

810 claims

$482.15

$62.69

7.7×

Top 10%

H2010Top 10%

Comprehensive medication services, per 15 min

$391K

810 claims · 1.0%

Your Cost: $482.15/claim|Median: $62.69

7.7× median

G2212Prolonged office/outpatient E/M, each additional 15 minSee all providers →

$293K

1,098 claims

$267.03

$72.96

3.7×

Normal range

G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$293K

1,098 claims · 0.7%

Your Cost: $267.03/claim|Median: $72.96

3.7× median

90834Psychotherapy, 45 minutesSee all providers →

$188K

704 claims

$267.40

$63.65

4.2×

Top 5%

90834Top 5%

Psychotherapy, 45 minutes

$188K

704 claims · 0.5%

Your Cost: $267.40/claim|Median: $63.65

4.2× median

90832Psychotherapy, 30 minutesSee all providers →

$61K

330 claims

$185.69

$41.28

4.5×

Top 5%

90832Top 5%

Psychotherapy, 30 minutes

$61K

330 claims · 0.1%

Your Cost: $185.69/claim|Median: $41.28

4.5× median

90791Psychiatric diagnostic evaluationSee all providers →

$54K

691 claims

$78.27

$99.21

0.8×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$54K

691 claims · 0.1%

Your Cost: $78.27/claim|Median: $99.21

0.8× median

99212Office/outpatient visit, low complexitySee all providers →

$12K

33 claims

$372.33

$25.06

14.9×

Top 1%

99212Top 1%

Office/outpatient visit, low complexity

$12K

33 claims · 0.0%

Your Cost: $372.33/claim|Median: $25.06

14.9× median

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Los Angeles County Department of Mental Health

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$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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