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 Diego (NPI 1225255375)

Field	Value
Entity Type	Organization
Organization	County Of San Diego
Address	1700 Pacific Hwy
City	San Diego
State	CA
ZIP	92101
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	April 19, 2007

Payer Source	Total Paid
Medicaid	$643.1M
Medicare	$0

Key Findings

COUNTY OF SAN DIEGO reports no Medicare billing on file and $643.1M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid) operator in the claims dataset. The provider has been NPI‑enumerated since 2007-04-19 (~19 years ago), indicating long tenure as a public health entity supporting Medicaid populations.

Revenue is highly concentrated in a small set of behavioral‑health-related codes: the top three Medicaid codes account for 58.9% of this provider's total Medicaid revenue. The single largest code is H0019 with $211.4M revenue (33.6% of Medicaid revenue), signaling that per‑diem long‑term residential behavioral health services are the primary revenue driver.

The code mix points to a core business centered on behavioral health and substance‑use services rather than primary medical care: high revenue and volume for H0019 (long‑term residential), H0004 (behavioral health counseling, $90.8M, 14.5%), and H0020 (methadone services, $68.1M, 10.8%) indicate an operational emphasis on residential treatment, intensive counseling, and medication‑assisted treatment. These three codes together represent the dominant service lines supporting the Medicaid revenue base.

COUNTY OF SAN DIEGO is a major statewide player for several behavioral‑health codes. It ranks #2 of 204 for H0004 (100th percentile; described as an "extreme outlier") and #2 of 149 for H0005 (99th percentile; "extreme outlier"), and it ranks #2 of 59 for H0019 (98th percentile; "notably above typical state volume"), indicating volumes far above most in‑state peers for outpatient counseling, group counseling, and long‑term residential services. In addition, S5000 and S5001 register as rank #1 in‑state (100th percentile) for generic and brand prescription drug claims, which further underscores unusually large medication dispensing volumes relative to other California providers.

While behavioral health dominates, the provider also bills significant time‑based and case‑management services: H2015 (comprehensive community support services) generates $45.7M (7.3%), H0006 (case management) $24.4M (3.9%), and T1017 (targeted case management) $7.8M (1.2%). These entries and their high in‑state rank positions (H2015 at 98th percentile, H0006 ranked #2 of 95 at 99th percentile) show sustained investment in care coordination and community support as part of the service model.

High volume counts underline operational scale: claims volumes include 1.1M claims for H0019 and 1.4M claims for H0020, plus 609.5K claims for H0004, demonstrating very large throughput for residential, methadone, and counseling services. These claim counts, together with the revenue concentrations, indicate an organization running large, recurring programs rather than isolated episodic services.

The provider also reports non‑behavioral E/M and hospital codes at meaningful levels, for example 99233 ($16.9M, 2.7%) and 99232 ($16.1M, 2.6%), plus inpatient initial visit 99223 ($3.4M, 0.5%). Although these codes are smaller contributors relative to the behavioral‑health portfolio, their presence suggests the County bills for higher‑acuity clinical encounters and inpatient-level E/M services in addition to its core behavioral health and substance‑use treatment lines.

Several specific codes are labeled as statistical outliers or notably above typical state volume in the dataset, and our findings reflect that language: H0004 and H0005 are characterized as "extreme outlier(s)" in statewide rank, H0019 and H0006 as "notably above typical state volume," and S5000/S5001 as 100th‑percentile extremes for prescription drug claims. These designations confirm the County of San Diego's dominant operational footprint in behavioral health counseling, group therapy, residential behavioral health, case management, and medication dispensing within California Medicaid.

Medicaid: Complete Services Breakdown

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

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	1,072,950	$200	$211.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	609,480	$150	$90.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	1,362,130	$50	$68.1M
H0005	Alcohol and/or drug services; group counseling by a clinician	707,160	$90	$60.1M
H2015	Comprehensive community support services, per 15 minutes	456,560	$100	$45.7M
H0006	Alcohol and/or drug services; case management	203,030	$120	$24.4M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	14,740	$1,150	$16.9M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	17,350	$930	$16.1M
H0012	Behavioral health day treatment, per hour	51,060	$280	$14.5M
H2010	Comprehensive medication services, per 15 minutes	129,310	$100	$12.5M

Showing 1–10 of 72

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 Diego — 13 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	2	60	28,240	$200	$26.1M
H2015	Comprehensive community support services, per 15 minutes	13	580	4,730	$250	$14.4M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	10	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	12	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	127	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	2	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	40	630	2,240	$180	$4.2M
H0012	Behavioral health day treatment, per hour	2	30	4,680	$270	$3.5M
H2011	Crisis intervention service, per 15 minutes	32	190	1,040	$620	$3M
H0034	Medication training and support, per 15 minutes	173	280	990	$250	$2.6M

Showing 1–10 of 72

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Pacific Southwest	CA	Clinical Medical Laboratory	$0	$35.3M
Family Health Centers Of San Diego Inc	CA	Federally Qualified Health Center (FQHC)	$0	$23.2M
City Of San Diego	CA	Land Ambulance	$2.3M	$15.4M
Joy Geyman	CA	Clinical Psychologist	$577.4K	$0
Khanh Tran	CA	Dermatopathology (Pathology) Physician	$247.8K	$0
Jeffrey Williams	CA	Cardiovascular Disease Physician	$215.6K	$1.1K
Camille Griffith	CA	Clinical Psychologist	$134.1K	$0
Francisco Pardo	CA	Addiction Medicine (Family Medicine) Physician	$117.9K	$0
Clay Bowland	CA	Diagnostic Radiology Physician	$71.7K	$0
Toni Galace	CA	Clinical Psychologist	$39K	$0

County Of San Diego — 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