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.

San Joaquin Behavioral Health Services (NPI 1215028931)

Field	Value
Entity Type	Organization
Organization	San Joaquin Behavioral Health Services
Address	1212 N California St
City	Stockton
State	CA
ZIP	95202
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 27, 2006

Payer Source	Total Paid
Medicaid	$212.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-first organization: there is no Medicare billing on file and lifetime Medicaid revenue is $212.6M, so all documented federal payer revenue in the dataset is driven by Medicaid. That concentration means the provider’s measurable fiscal footprint in CMS data is tied directly to state Medicaid policies and reimbursement arrangements rather than Medicare trends.

Revenue is highly concentrated in three Medicaid service lines: H2015, H2013, and H0020 together account for 58.1% of the provider’s total Medicaid revenue. Individually those codes report $41.6M (H2015, 19.6%), $41.5M (H2013, 19.5%), and $40.2M (H0020, 18.9%) in revenue, so changes to reimbursement or utilization for any of these codes would materially affect overall revenue.

The code mix signals a blended operation that spans community-based supports, psychiatric per-diem treatment, and large-scale opioid treatment services. High-volume community support (H2015 — 231.3K claims, $180 avg paid/claim, $41.6M) and behavioral counseling (H0004 — 291.5K claims, $92 avg paid/claim, $26.8M) sit alongside psychiatric facility per-diem billing (H2013 — 29.4K claims, $1410 avg paid/claim, $41.5M) and methadone administration (H0020 — 2.7M claims, $15 avg paid/claim, $40.2M), indicating both outpatient/community programming and structured daily treatment capacity.

Competitive standing is mixed by service line: the provider ranks highly statewide on several top codes but the dataset characterizes most volumes as “typical, unremarkable” for those codes. For example, H2015 ranks #15 of 581 (98th percentile, typical, unremarkable volume) and H2013 ranks #4 of 28 (89th percentile, typical, unremarkable volume), while H0020 ranks #5 of 91 (96th percentile) and is explicitly labeled notably above typical state volume — together these positions make the provider a leading Medicaid participant in opioid treatment and a major statewide contributor to community support services.

Beyond the top three, the profile shows a broad continuum of behavioral-health services including short-term residential (H0018 — $19.6M, 9.2%), long-term residential (H0019 — $9.6M, 4.5%), targeted case management (T1017 — 135K claims, $89 avg paid/claim, $12M, 5.7%), and comprehensive medication services (H2010 — $5.1M, 2.4%). These secondary lines indicate integrated care capabilities (residential, case management, medication services) that complement the high-volume outpatient and OTP activity.

Operational scale is substantial on a per-encounter basis for several services: 2.7M claims were reported for H0020 and hundreds of thousands of claims for H0004 (291.5K) and H2015 (231.3K), demonstrating very high throughput in methadone/medication-assisted treatment and frequent community- and counseling-based encounters. That volume profile suggests staffing and site infrastructure oriented to high-frequency, low-unit-payment services as well as higher-paid per-diem inpatient-style services.

The provider has a long-enumerated NPI (2006-09-27, ~20 years ago), indicating roughly two decades of presence in the market; combined with high statewide percentiles on multiple codes this tenure supports its role as an established community behavioral-health organization.

Because the entire CMS-recorded revenue base is Medicaid ($212.6M) and the top three codes drive 58.1% of that revenue, the organization carries concentrated exposure to Medicaid reimbursement and utilization trends for H2015, H2013, and H0020. Operational or policy shifts that affect community support services, psychiatric per-diem payments, or methadone/OTP funding would likely have outsized impact on the provider’s financials given this concentration.

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	231,280	$180	$41.6M
H2013	Psychiatric health facility service, per diem	29,420	$1,410	$41.5M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	2,680,130	$20	$40.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	291,530	$90	$26.8M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	51,920	$380	$19.6M
T1017	Targeted case management, each 15 minutes	135,030	$90	$12M
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	39,620	$240	$9.6M
H2010	Comprehensive medication services, per 15 minutes	18,620	$280	$5.1M
H2019	Therapeutic behavioral services, per 15 minutes	17,270	$270	$4.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	32,620	$120	$4M

Showing 1–10 of 47

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

San Joaquin Behavioral Health Services — 6 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9484	Crisis intervention mental health services, per hour	45	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	25	60	28,240	$200	$26.1M
H2013	Psychiatric health facility service, per diem	4	30	6,480	$1,260	$19M
H2015	Comprehensive community support services, per 15 minutes	15	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	8	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)	5	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	107	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	44	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	6	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	14	630	2,240	$180	$4.2M

Showing 1–10 of 47

Nearby Providers

Other providers in the same ZIP code as San Joaquin Behavioral Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Joaquin County Behavioral Health Services	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$65.6M
Community Medical Centers, Inc	CA	Federally Qualified Health Center (FQHC)	$0	$37.9M
San Joaquin County Behavioral Health Services	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$32.6M
San Joaquin County Behavioral Health Services	CA	Adolescent and Children Mental Health Clinic/Center	$0	$30.3M
San Joaquin County Behavioral Health Services	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.1M
John Canzano	CA	Ophthalmology Physician	$2M	$0
Medmark Treatment Centers - Stockton, Inc.	CA	Methadone Clinic	$695.7K	$0
Richard Wong	CA	Ophthalmology Physician	$375.4K	$0

San Joaquin Behavioral Health Services — Billing Profile & Reimbursement Data

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San Joaquin Behavioral Health Services — 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

Nearby Providers

Frequently Asked Questions

References