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

    NPI 1104963347 · Santa Ana, CA · Mental Health Clinic/Center (Including Community Mental Health Center)

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    County Of Orange is a mental health clinic/center (including community mental health center) provider located in Santa Ana, California. This profile covers 0 Medicare and 75 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 Orange
    Address405 W 5th St Ste 212
    CitySanta Ana
    StateCA
    ZIP92701
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedJanuary 30, 2007

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

    Payer SourceTotal Paid
    Medicaid$806.3M
    Medicare$0

    Key Findings

    COUNTY OF ORANGE reports no Medicare billing on file and $806.3M in lifetime Medicaid revenue, making it effectively a Medicaid-centric provider by scale. This payer mix indicates the organization’s financial footprint and risk exposure are concentrated in Medicaid program reimbursement rather than dual Medicare/Medicaid streams.

    Revenue is highly concentrated: the precomputed top three Medicaid codes account for 59.4% of total Medicaid revenue, with H2015 at $296M revenue (37.4%), H2010 at $94.8M revenue (12.0%), and S9484 at $79.3M revenue (10.0%). This concentration signals the organization’s dependence on a small set of high-revenue behavioral health services.

    The code mix points to a large, community-based behavioral health operation focused on comprehensive support and medication services plus crisis response and case management. High-volume codes include H2015 (Comprehensive community support services), H2010 (Comprehensive medication services), T1017 (Targeted case management), and S9484 (Crisis intervention mental health services), indicating integrated outpatient and community crisis capabilities rather than primarily inpatient acute care.

    COUNTY OF ORANGE is a major statewide player on multiple behavioral-health codes: H2010 ranks #3 of 435 providers in-state (100th percentile) and is described as an extreme outlier far above typical state volume, while H2015 ranks #4 of 581 (99th percentile) and is notably above typical state volume. Additional codes such as H0031 (rank #1 of 360, 100th percentile) and psychotherapy codes 90837 and 90834 (both 100th percentile) further demonstrate dominant volume positions in several Medicaid service lines.

    Several high-revenue services are also high-intensity or high-paid per encounter, which amplifies their revenue impact. Examples include S9484 at $2945 avg paid/claim ($79.3M revenue) and psychotherapy 90837 at $361 avg paid/claim ($22.2M revenue), indicating that crisis-intervention and long psychotherapy sessions are material contributors to the revenue mix.

    The provider sustains very large service volumes in medication and case-management activities: H2010 shows 574.4K claims and H2015 shows 1.5M claims, while targeted case management T1017 has 406.1K claims ($55.2M revenue, 7.0%). These claim counts reflect operational scale in recurring, time-based community and medication management services rather than one-off procedures.

    COUNTY OF ORANGE maintains a meaningful residential services footprint alongside outpatient care: H0019 (long-term residential) contributes $33.9M (4.3%) and H0018 (short-term residential) contributes $33.4M (4.2%), with additional detox and sub-acute codes (H0012, H0020) also present. This mix suggests the organization operates a continuum of non-hospital residential and outpatient behavioral-health programs.

    The provider’s NPI was enumerated on 2007-01-30 (~19 years ago), indicating long-tenured participation in public programs; this tenure aligns with the scale and breadth of Medicaid services reported and supports institutional capacity to manage sustained, high-volume behavioral-health delivery across multiple service lines.

    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.

    75 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2015Comprehensive community support services, per 15 minutes1,541,720$190$296M
    H2010Comprehensive medication services, per 15 minutes574,400$170$94.8M
    S9484Crisis intervention mental health services, per hour26,930$2,950$79.3M
    T1017Targeted case management, each 15 minutes406,110$140$55.2M
    H0019Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem226,050$150$33.9M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem21,370$1,560$33.4M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)1,169,770$30$32.8M
    H0004Behavioral health counseling and therapy, per 15 minutes195,250$120$22.8M
    H2017Psychosocial rehabilitation services, per 15 minutes111,160$200$22.2M
    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…61,460$360$22.2M

    Showing 1–10 of 75

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    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

    75 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9484Crisis intervention mental health services, per hour10503,850$1,830$28.8M
    H0019Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem76028,240$200$26.1M
    H2015Comprehensive community support services, per 15 minutes45804,730$250$14.4M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem154012,180$520$13.8M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)139025,310$20$9.5M
    H2010Comprehensive medication services, per 15 minutes34405,400$270$7.3M
    H2017Psychosocial rehabilitation services, per 15 minutes184802,310$220$6.3M
    H0004Behavioral health counseling and therapy, per 15 minutes142003,070$120$4.5M
    T1017Targeted case management, each 15 minutes86302,240$180$4.2M
    H0012Behavioral health day treatment, per hour4304,680$270$3.5M

    Showing 1–10 of 75

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    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Altamed Health Services CorpCAFederally Qualified Health Center (FQHC)$0$43.5M
    University Of California IrvineCAFederally Qualified Health Center (FQHC)$0$40M
    Alaa AfifiCAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$394.4K$220K
    Radex Mobile Network LLCCAPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$445.2K$32.4K
    John EhumCAFamily Medicine Physician$273.8K$0
    Katherine De AzambujaCAFamily Medicine Physician$73.1K$12.9K
    Phlebotomy Direct, LLCCAClinical Medical Laboratory$63.4K$0
    Tony CastilloCARadiologic Technologist$36.8K$1.2K

    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 Orange — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California