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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCounty Of San Luis Obispo
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    County Of San Luis Obispo — Billing Profile & Reimbursement Data

    NPI 1275691503 · Atascadero, CA · Mental Health Clinic/Center (Including Community Mental Health Center)

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    County Of San Luis Obispo is a mental health clinic/center (including community mental health center) provider located in Atascadero, California. This profile covers 0 Medicare and 20 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 San Luis Obispo
    Address5575 Hospital Drive
    CityAtascadero
    StateCA
    ZIP93422
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedDecember 6, 2006

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

    Payer SourceTotal Paid
    Medicaid$26.8M
    Medicare$0

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2015Comprehensive community support services, per 15 minutes25,990$410$10.7M
    H2010Comprehensive medication services, per 15 minutes20,360$260$5.3M
    T1017Targeted case management, each 15 minutes21,880$190$4.2M
    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…4,750$280$1.3M
    H2017Psychosocial rehabilitation services, per 15 minutes3,400$260$874.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…960$870$831.8K
    H0032Mental health service plan development by non-physician2,230$320$719K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…2,070$320$667K
    H0034Medication training and support, per 15 minutes4,170$140$570.7K
    G2212Prolonged 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…1,330$320$420K

    Showing 1–10 of 20

    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

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2015Comprehensive community support services, per 15 minutes1015804,730$250$14.4M
    H2010Comprehensive medication services, per 15 minutes1004405,400$270$7.3M
    H2017Psychosocial rehabilitation services, per 15 minutes2074802,310$220$6.3M
    T1017Targeted case management, each 15 minutes626302,240$180$4.2M
    H0034Medication training and support, per 15 minutes52280990$250$2.6M
    H0032Mental health service plan development by non-physician3539801,080$160$1.5M
    G2212Prolonged 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…64340340$300$846K
    T2021Day habilitation, waiver; per 15 minutes2160170$490$607.8K
    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…5134,290780$140$400.1K
    T2024Service assessment/plan of care development, waiver268090$510$309.5K

    Showing 1–10 of 20

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caroline BreedingCASpeech-Language Pathologist$56.6K$0
    Tiffany NickersonCAPhysician Assistant$660$0

    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.

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    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 San Luis Obispo — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California