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 Tuolumne (NPI 1366618035)

Field	Value
Entity Type	Organization
Organization	County Of Tuolumne
Address	105 Hospital Road
City	Sonora
State	CA
ZIP	95370
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 2, 2008

Payer Source	Total Paid
Medicaid	$23.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	16,370	$330	$5.3M
H2015	Comprehensive community support services, per 15 minutes	16,300	$310	$5M
H2010	Comprehensive medication services, per 15 minutes	22,490	$210	$4.7M
H2011	Crisis intervention service, per 15 minutes	4,830	$770	$3.7M
T1017	Targeted case management, each 15 minutes	8,200	$200	$1.6M
H0032	Mental health service plan development by non-physician	6,710	$170	$1.1M
99214	The 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…	830	$740	$618.3K
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…	1,250	$350	$431.8K
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…	970	$400	$388.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	930	$260	$243.1K

Showing 1–10 of 28

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 Tuolumne — 1 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	148	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)	83	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	91	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	73	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	170	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	163	630	2,240	$180	$4.2M
H2011	Crisis intervention service, per 15 minutes	52	190	1,040	$620	$3M
H0034	Medication training and support, per 15 minutes	93	280	990	$250	$2.6M
H0005	Alcohol and/or drug services; group counseling by a clinician	92	150	4,360	$70	$2.4M
H0032	Mental health service plan development by non-physician	179	980	1,080	$160	$1.5M

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tuolumne Me-wuk Indian Health Center, Inc.	CA	Family Medicine Physician	$0	$46.9M
Sonora Community Hospital	CA	Rural Health Clinic/Center	$0	$41.3M
Sonora Community Hospital	CA	General Acute Care Hospital	$0	$22.8M
County Of Tuolumne	CA	Land Ambulance	$2.2M	$3M
Gerard Ardron	CA	Ophthalmology Physician	$1.3M	$0
Zachary Cooper	CA	Dermatology Physician	$1.1M	$0
Pericles Ioannides	CA	Radiation Oncology Physician	$532.7K	$0
Yousef Khelfa	CA	Hematology & Oncology Physician	$423.2K	$0
Timothy Hooper	CA	General Practice Physician	$366.7K	$970
Ariana Demers	CA	Sports Medicine (Orthopaedic Surgery) Physician	$295.6K	$0

County Of Tuolumne — Billing Profile & Reimbursement Data

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County Of Tuolumne — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References