Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Monterey County Behavioral Health Division

Community/Behavioral Health·Salinas, CA·NPI: 1730211178Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $137.7M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-07(79 months)

Total Paid

$137.7M

$137,686,468

Total Claims

1.1M

Beneficiaries

176K

6.3 claims/patient

Avg Cost/Claim

$123

#810 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Monterey County Behavioral Health Division is a Community/Behavioral Health provider based in Salinas, CA. From the 2018–2024 period, this provider received $137.7M in Medicaid payments across 1.1M claims.

Important Context

  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.

Why This Matters

This provider received $137.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,210 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 70% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.3M
+10%
2019
$21.2M
-5%
2020
$20.2M
+2%
2021
$20.6M
+15%
2022
$23.7M
+14%
2023
$27.0M
-79%
2024
$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2017 (Psychosocial rehabilitation services, per 15 min)) accounts for 21% of total spending.

H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$29.2M

135K claims · 21.2%

Your Cost: $215.93/claim|Median: $91.63
2.4× median
H0019Normal range

Behavioral health; residential, per diem

$19.2M

117K claims · 13.9%

Your Cost: $164.14/claim|Median: $357.16
0.5× median
H0018Normal range

Behavioral health; short-term residential, per diem

$18.0M

38K claims · 13.1%

Your Cost: $479.24/claim|Median: $467.51
1.0× median
T1017Top 25%

Targeted case management, per 15 min

$15.3M

74K claims · 11.1%

Your Cost: $205.40/claim|Median: $69.56
3.0× median
H2015Top 25%

Comprehensive community support services, per 15 min

$15.2M

60K claims · 11.1%

Your Cost: $252.02/claim|Median: $96.24
2.6× median
H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$8.0M

55K claims · 5.8%

Your Cost: $146.39/claim|Median: $74.63
2.0× median
H0020Normal range

Alcohol/drug services; methadone administration

$7.4M

511K claims · 5.4%

Your Cost: $14.55/claim|Median: $18.95
0.8× median
H2012Top 25%

Behavioral health day treatment, per hour

$6.6M

26K claims · 4.8%

Your Cost: $248.27/claim|Median: $137.86
1.8× median
H2010Top 25%

Comprehensive medication services, per 15 min

$5.1M

17K claims · 3.7%

Your Cost: $304.23/claim|Median: $62.69
4.8× median
H0006Top 10%

Alcohol and/or drug services, case management

$4.3M

31K claims · 3.1%

Your Cost: $141.15/claim|Median: $43.10
3.3× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$2.5M

8K claims · 1.8%

Your Cost: $322.20/claim|Median: $84.12
3.8× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$1.3M

18K claims · 0.9%

Your Cost: $71.63/claim|Median: $47.35
1.5× median
90837Top 1%

Psychotherapy, 60 minutes

$975K

3K claims · 0.7%

Your Cost: $375.93/claim|Median: $85.66
4.4× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$708K

6K claims · 0.5%

Your Cost: $119.92/claim|Median: $129.75
0.9× median
S9484Top 10%

Crisis intervention mental health services, per hour

$686K

328 claims · 0.5%

Your Cost: $2,091.17/claim|Median: $249.51
8.4× median
H0032Top 10%

Mental health service plan development

$673K

3K claims · 0.5%

Your Cost: $236.25/claim|Median: $80.64
2.9× median
H0012Normal range

$462K

3K claims · 0.3%

Your Cost: $157.28/claim|Median: $295.95
0.5× median
G2212Normal range

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

$448K

4K claims · 0.3%

Your Cost: $110.37/claim|Median: $72.96
1.5× median
99215Top 1%

Office/outpatient visit, high complexity

$287K

376 claims · 0.2%

Your Cost: $763.97/claim|Median: $74.09
10.3× median
H0034Top 10%

Medication training and management, per 15 min

$260K

792 claims · 0.2%

Your Cost: $327.92/claim|Median: $56.90
5.8× median
H2011Normal range

Crisis intervention service, per 15 minutes

$178K

680 claims · 0.1%

Your Cost: $262.14/claim|Median: $215.80
1.2× median
90882Normal range

Environmental intervention

$172K

4K claims · 0.1%

Your Cost: $40.03/claim|Median: $45.05
0.9× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$168K

370 claims · 0.1%

Your Cost: $454.40/claim|Median: $53.41
8.5× median
90847Top 5%

Family psychotherapy with patient, 50 min

$88K

284 claims · 0.1%

Your Cost: $308.77/claim|Median: $77.33
4.0× median
90834Top 1%

Psychotherapy, 45 minutes

$84K

305 claims · 0.1%

Your Cost: $276.40/claim|Median: $63.65
4.3× median
90791Normal range

Psychiatric diagnostic evaluation

$82K

1K claims · 0.1%

Your Cost: $76.68/claim|Median: $99.21
0.8× median
99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$39K

108 claims · 0.0%

Your Cost: $360.39/claim|Median: $37.81
9.5× median
G0396Top 10%

Alcohol/substance abuse structured assessment, 15-30 minutes

$33K

279 claims · 0.0%

Your Cost: $117.94/claim|Median: $40.58
2.9× median
T1007Top 5%

Alcohol/drug services, treatment plan review

$28K

67 claims · 0.0%

Your Cost: $412.70/claim|Median: $64.10
6.4× median
H0031Top 10%

Mental health assessment by non-physician

$24K

105 claims · 0.0%

Your Cost: $231.06/claim|Median: $96.18
2.4× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$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

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

← All providersAll providers in California →How we detect fraud →