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    OpenPayerNPI Medicare & MedicaidCounty Of Sacramento
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    County Of Sacramento — Billing Profile & Reimbursement Data

    NPI 1043386659 · Sacramento, CA · Adult Mental Health Clinic/Center

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    County Of Sacramento is a adult mental health clinic/center provider located in Sacramento, California. This profile covers 0 Medicare and 56 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCounty Of Sacramento
    Address7001a East Pkwy
    CitySacramento
    StateCA
    ZIP95823
    TaxonomyAdult Mental Health Clinic/Center
    NPI EnumeratedNovember 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$903M
    Medicare$0

    Key Findings

    This provider is effectively a single‑payer Medicaid entity: there is no Medicare billing on file while lifetime Medicaid revenue totals $903M, indicating the organization’s operations are overwhelmingly funded through Medicaid rather than Medicare. Analysts should treat Medicaid patterns as the primary lens for competitive and utilization assessment.

    Revenue is highly concentrated in a small set of time‑based community behavioral health services: the precomputed top 3 Medicaid codes account for 55.5% of total Medicaid revenue, with H2015 at $222.1M (24.7%), H2017 at $155.2M (17.3%), and T1017 at $120.6M (13.4%). This concentration signals that a majority of revenue is driven by intensive, frequent service units rather than a broad mix of low-volume procedures.

    The code mix points to a large, community‑based behavioral health operation that emphasizes psychosocial rehabilitation, comprehensive community support, and targeted case management: H2015 (comprehensive community support services), H2017 (psychosocial rehabilitation services), T1017 (targeted case management) are top revenue generators, and H2010 (comprehensive medication services) and H2013 (psychiatric health facility per diem) are also material. Together these codes imply integrated outpatient, case management, medication management, and facility‑level services across the continuum of care.

    Competitive standing within California is dominant for several specialty behavioral health codes: H2017 ranks #3 of 481 providers in-state (100th percentile; extreme outlier), T1017 ranks #3 of 628 providers (100th percentile; extreme outlier), H2010 ranks #2 of 435 providers (100th percentile; extreme outlier), and H2013 ranks #1 of 28 providers (100th percentile; extreme outlier). These ranks indicate the provider is a major statewide player for high‑volume community rehabilitation, case management, medication services, and psychiatric‑per diem care.

    Claims volumes demonstrate operational scale and intensity: H2015 shows 1.1M claims, T1017 shows 1.2M claims, and H2017 shows 739.2K claims, while psychotherapy and evaluation codes such as 90837 have 66.1K claims. The large claim counts for frequently billed, per‑15‑minute codes reflect a business model built on high encounter frequency and time‑based reimbursement.

    Average paid‑per‑claim values point to substantial revenue impact from higher‑priced services and crisis/residential care: S9484 averages $2559 paid/claim generating $31.8M, T2024 averages $1051 paid/claim generating $4.8M, and H2013 averages $877 paid/claim generating $66.8M. These per‑claim rates, combined with the provider’s volume, suggest meaningful revenue contributions from crisis intervention, residential supports, and per‑diem psychiatric care.

    The provider maintains a broad clinical mix that includes both time‑based community supports and higher‑intensity outpatient E/M and psychotherapy services: notable entries include 99215 ($985 avg paid/claim, $9.9M revenue), 99214 ($560 avg paid/claim, $8.3M revenue), 90837 ($393 avg paid/claim, $26M revenue), and 90834 ($289 avg paid/claim, $3.3M revenue). This breadth indicates capability in delivering traditional psychiatric evaluation/management and longer psychotherapy sessions alongside intensive community services.

    Tenure and institutional scale support its role as a long‑standing Medicaid behavioral health provider: the NPI was enumerated on 2006-11-27 (~20 years ago), and the provider’s $903M lifetime Medicaid revenue combined with multiple 100th‑percentile code rankings mark it as an established, large‑scale operator in California’s behavioral health safety net.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    56 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2015Comprehensive community support services, per 15 minutes1,094,240$200$222.1M
    H2017Psychosocial rehabilitation services, per 15 minutes739,170$210$155.2M
    T1017Targeted case management, each 15 minutes1,182,220$100$120.6M
    H2010Comprehensive medication services, per 15 minutes586,240$200$118.4M
    H2013Psychiatric health facility service, per diem76,150$880$66.8M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem64,340$530$34.4M
    S9484Crisis intervention mental health services, per hour12,410$2,560$31.8M
    H0032Mental health service plan development by non-physician186,580$160$29.9M
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…66,090$390$26M
    G2212Prolonged 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…42,150$410$17.2M

    Showing 1–10 of 56

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    56 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9484Crisis intervention mental health services, per hour14503,850$1,830$28.8M
    H2013Psychiatric health facility service, per diem1306,480$1,260$19M
    H2015Comprehensive community support services, per 15 minutes75804,730$250$14.4M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem64012,180$520$13.8M
    H2010Comprehensive medication services, per 15 minutes24405,400$270$7.3M
    H2017Psychosocial rehabilitation services, per 15 minutes34802,310$220$6.3M
    T1017Targeted case management, each 15 minutes36302,240$180$4.2M
    H2019Therapeutic behavioral services, per 15 minutes646604,750$140$3.1M
    H2011Crisis intervention service, per 15 minutes281901,040$620$3M
    H0034Medication training and support, per 15 minutes11280990$250$2.6M

    Showing 1–10 of 56

    Nearby Providers

    Other providers in the same ZIP code as County Of Sacramento, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of SacramentoCACommunity/Behavioral Health Agency$0$179.8M
    Kaiser Foundation HospitalsCAGeneral Acute Care Hospital$0$128M
    Dignity Community CareCAGeneral Acute Care Hospital$0$86.1M
    Prithipal SethiCAUrology Physician$1.1M$0
    Dawei ZhengCAFamily Medicine Physician$918.2K$0
    Treatment Associates, Inc.CAMethadone Clinic$475.2K$19K
    Gregory SmithCAInternal Medicine Physician$433K$0
    Paramjit TakharCAFamily Medicine Physician$333.4K$0
    Stephen HowellCAOrthopaedic Surgery Physician$270.7K$0
    Ushir PatelCANephrology Physician$251.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    County Of Sacramento — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California