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 Sacramento (NPI 1275604977)

Field	Value
Entity Type	Organization
Organization	County Of Sacramento
Address	7001a East Pkwy
City	Sacramento
State	CA
ZIP	95823
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 13, 2006

Payer Source	Total Paid
Medicaid	$179.8M
Medicare	$0

Key Findings

COUNTY OF SACRAMENTO reports $179.8M in lifetime Medicaid revenue and has no Medicare billing on file, making its present billing footprint effectively single-payer (Medicaid) in the available data. This concentration on Medicaid should be treated as the primary source of contractual and reimbursement risk for the organization.

Revenue is highly concentrated in a very small set of procedure codes: the top three Medicaid codes account for 89.3% of the provider’s total Medicaid revenue. Those top drivers are H0020 ($76.7M, 42.6%), H0004 ($52.6M, 29.3%), and H0019 ($31.2M, 17.4%), indicating that a few service lines dominate the economics of the operation.

The code mix points squarely to substance use disorder and behavioral health services as the core business model. H0020 (methadone administration/provision) and H0004 (behavioral health counseling per 15 minutes) together make up over 70% of revenue and suggest an on-the-ground opioid treatment program model combined with intensive outpatient counseling capacity, while H0019 indicates a substantial long-term residential treatment component.

COUNTY OF SACRAMENTO is a statewide dominant outlier on key SUD service lines: it ranks #2 of 91 for H0020 and #3 of 204 for H0004, both in the 99th percentile and labeled as “extreme outlier” volumes compared with peers. By contrast, its H0019 rank (#11 of 59, ~83rd percentile) is within a more typical state distribution, so the provider’s leadership is most pronounced on methadone administration and counseling rather than residential services.

Operational scale is large in absolute claim volume: the dataset shows 5.1M claims for H0020, 446K claims for H0004, and 132.9K claims for H0019, with reported average paid per claim of $15, $118, and $235 respectively. Those claim counts combined with the revenue figures indicate a high-throughput, low-unit-price delivery model for medication administration alongside higher-paid counseling and per-diem residential services.

Ancillary service lines and pharmacy dispensing appear to support the core SUD services but represent much smaller shares of revenue. S5000 (prescription drug, generic) contributes $3.4M (1.9% of total Medicaid revenue) and ranks #3 of 164 in-state (99th percentile, notably above typical state volume), while group counseling (H0005) and several case-management and assessment codes (T1017, H0006, G0397, etc.) add modest incremental revenue and operational breadth.

The provider’s revenue profile implies a concentration risk: because H0020, H0004, and H0019 together generate 89.3% of Medicaid revenue, changes in methadone policy, counseling reimbursement, or state SUD program contracting could disproportionately affect total revenue. Analysts should prioritize monitoring regulatory, contractual, or utilization shifts for these three codes when assessing financial stability.

COUNTY OF SACRAMENTO has a long-tenured NPI (enumerated 2006-11-13, ~20 years ago), indicating an established presence in the market. Combined with its extreme outlier volumes on core SUD codes and sustained Medicaid revenue, this tenure suggests entrenched operational capacity in behavioral health and substance use disorder services within California.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	5,110,520	$20	$76.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	445,990	$120	$52.6M
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	132,940	$240	$31.2M
H0005	Alcohol and/or drug services; group counseling by a clinician	142,850	$80	$11.4M
S5000	Prescription drug, generic	108,430	$30	$3.4M
T1017	Targeted case management, each 15 minutes	6,000	$180	$1.1M
H0006	Alcohol and/or drug services; case management	14,890	$50	$759.2K
H0012	Behavioral health day treatment, per hour	1,950	$340	$667.2K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	1,600	$330	$518.4K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	8,240	$60	$485.9K

Showing 1–10 of 30

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 Sacramento — 5 of 23 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

30 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	11	60	28,240	$200	$26.1M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	2	90	25,310	$20	$9.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	392	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	3	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	200	630	2,240	$180	$4.2M
H0012	Behavioral health day treatment, per hour	20	30	4,680	$270	$3.5M
H0005	Alcohol and/or drug services; group counseling by a clinician	8	150	4,360	$70	$2.4M
H0006	Alcohol and/or drug services; case management	14	100	2,030	$90	$1.8M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	15	50	2,770	$70	$1.2M
G2212	Prolonged 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…	199	340	340	$300	$846K

Showing 1–10 of 30

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Sacramento	CA	Adult Mental Health Clinic/Center	$0	$903M
Kaiser Foundation Hospitals	CA	General Acute Care Hospital	$0	$128M
Dignity Community Care	CA	General Acute Care Hospital	$0	$86.1M
Prithipal Sethi	CA	Urology Physician	$1.1M	$0
Dawei Zheng	CA	Family Medicine Physician	$918.2K	$0
Treatment Associates, Inc.	CA	Methadone Clinic	$475.2K	$19K
Gregory Smith	CA	Internal Medicine Physician	$433K	$0
Paramjit Takhar	CA	Family Medicine Physician	$333.4K	$0
Stephen Howell	CA	Orthopaedic Surgery Physician	$270.7K	$0
Ushir Patel	CA	Nephrology Physician	$251.2K	$0

County Of Sacramento — Billing Profile & Reimbursement Data

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County Of Sacramento — 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