Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

County Of San Bernardino (NPI 1194934471)

Field	Value
Entity Type	Organization
Organization	County Of San Bernardino
Address	303 E Vanderbilt Way
City	San Bernardino
State	CA
ZIP	92415
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicaid	$1.1B
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all recorded federal billing is through Medicaid, with total Medicaid revenue of $1.05B. The absence of Medicare activity suggests the entity’s operations are focused on Medicaid-covered behavioral health and substance use disorder services rather than traditional Medicare patient care.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes account for 52.7% of the provider’s Medicaid revenue. Those top three are H2015 ($325.2M, 31.8% of total Medicaid revenue), H2017 ($122.8M, 12.0%), and H2010 ($90.8M, 8.9%), indicating a heavy dependence on community support, psychosocial rehabilitation, and comprehensive medication services for Medicaid reimbursement.

The code mix points to a large community-based behavioral health and substance use disorder operation. High revenue from H2015 (Comprehensive community support services), H2017 (Psychosocial rehabilitation services), and H2010 (Comprehensive medication services) combined with meaningful per-diem residential codes like H0018 and H0019 signals integrated programming that spans outpatient community supports, medication management, and both short- and long-term residential treatment.

State-level competitive standing is dominant in several key lines: H2015 ranks #3 of 581 providers in-state at the 100th percentile (notably above typical state volume), and H0018 ranks #1 of 41 providers in-state at the 100th percentile and is labeled an extreme outlier. Several psychotherapy and crisis-intervention CPT/HCP CS codes such as 90837 and 90834 also appear as extreme outliers statewide, reinforcing that this provider is a major, high-volume player for multiple Medicaid behavioral health services.

Operational scale is very large and mixed between high-volume/low-price units and lower-frequency/higher-price units: for example, H0020 shows 2M claims at $15 avg paid/claim ($30.3M revenue) while H2015 shows 1.6M claims at $203 avg paid/claim ($325.2M revenue), and S9484 has 46K claims at $1000 avg paid/claim ($46M revenue). This mix indicates both high-throughput maintenance services (e.g., methadone provision) and high-intensity crisis or psychotherapy encounters that generate substantial per-claim revenue.

Several codes are flagged as statistical outliers or notably above typical state volume, which highlights concentrated expertise and capacity in specific services. Examples include H0018 (extreme outlier, short-term residential), 90837 and 90834 (extreme outliers for psychotherapy volume), and multiple H-series codes (H2015, H2017, H2010) described as notably above typical or high percentile statewide.

The provider’s NPI has been enumerated since 2007-05-22 (~19 years ago), indicating an established operating history in the region. That tenure combined with the scale and concentration of Medicaid billing suggests long-running program infrastructure and sustained relationships with state Medicaid payers and referral sources.

For payers and contracting teams, the high revenue concentration (52.7% in the top three codes) and the provider’s dominance in specific service lines create both risk and leverage points: residential per-diem rates (H0018/H0019), comprehensive community supports (H2015), and medication services (H2010) are natural targets for rate and utilization review, while the large methadone volume (H0020: 2M claims, $30.3M revenue) represents a material service line that could be relevant to network adequacy and care-management strategies.

Medicaid: Complete Services Breakdown

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	1,601,960	$200	$325.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	558,370	$220	$122.8M
H2010	Comprehensive medication services, per 15 minutes	350,700	$260	$90.8M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	137,390	$420	$58.3M
T1017	Targeted case management, each 15 minutes	328,470	$170	$55.8M
H0019	Behavioral 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 diem	288,780	$180	$51.7M
S9484	Crisis intervention mental health services, per hour	45,990	$1,000	$46M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	2,021,320	$20	$30.3M
90837	In 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…	71,900	$410	$29.7M
H2019	Therapeutic behavioral services, per 15 minutes	82,920	$330	$27M

Showing 1–10 of 58

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

County Of San Bernardino — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9484	Crisis intervention mental health services, per hour	5	50	3,850	$1,830	$28.8M
H0019	Behavioral 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 diem	4	60	28,240	$200	$26.1M
H2015	Comprehensive community support services, per 15 minutes	3	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	40	12,180	$520	$13.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	9	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	6	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	4	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	8	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	9	630	2,240	$180	$4.2M
H0012	Behavioral health day treatment, per hour	7	30	4,680	$270	$3.5M

Showing 1–10 of 58

County Of San Bernardino — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References