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 Santa Clara (NPI 1376538991)

Field	Value
Entity Type	Organization
Organization	County Of Santa Clara
Address	500 Tully Rd
City	San Jose
State	CA
ZIP	95111
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 20, 2005

Payer Source	Total Paid
Medicaid	$127.9M
Medicare	$0

Key Findings

This entity reports $127.9M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid-focused) operation in the available dataset. Its NPI was enumerated on 2005-09-20 (~21 years ago), indicating long tenure in the Medicaid billing universe and institutional stability.

Revenue is extremely concentrated in a very small set of codes: the precomputed top 3 codes account for 98.5% of this provider's total Medicaid revenue. Those top drivers are T1015 (71.2% of Medicaid revenue), 00003 (26.5%), and G0467 (0.8%), which together dominate receipts and suggest limited revenue diversification across other Medicaid services.

The code mix points to core FQHC primary care activity: T1015 (T1015 – Clinic visit/encounter, all-inclusive) is the single largest driver at $90.8M and represents bundled, per-encounter clinic visits typical of Federally Qualified Health Center workflows. G0467 is present but minor ($1.1M, 0.8% of Medicaid revenue), while 00003 (64.9K claims, $33.8M) has no description on file—its large share suggests a state- or program-specific encounter code that materially shapes the provider's business model and should be reviewed for programmatic meaning.

Despite the heavy concentration in a few codes, the provider is not a dominant statewide player on its top FQHC codes: T1015 ranks #123 of 1550 providers in-state (92th percentile) and is described as typical/unremarkable volume, 00003 ranks #70 of 688 (90th percentile) and is also characterized as typical/unremarkable, and G0467 ranks #91 of 1029 (91th percentile) with a similar characterization. These ranks indicate strong participation consistent with many FQHCs but not outright market dominance for those specific services.

Operationally the dataset shows very high volumes of low-paid evaluation-and-management encounters, consistent with high-throughput primary care workflows: 99213 has 152.5K claims at $2 avg paid/claim ($305K revenue) and is labeled an extreme outlier (99th percentile), 99214 has 52.6K claims at $3 avg paid/claim ($157.7K revenue, 98th percentile, extreme outlier), and 99212 has 44K claims at $1 avg paid/claim ($44K revenue, 98th percentile, notably above typical). These patterns indicate heavy reliance on many brief encounters rather than on high-revenue per-encounter procedures.

Preventive and pediatric care activity appears pronounced: well-visit codes show unusually high volumes—99392 (21.4K claims, $4 avg, $85.7K revenue) and 99391 (15.7K claims, $4 avg, $62.7K revenue) both sit at the 99th percentile (labeled extreme outliers), while 99393 (14K claims, $4 avg, $56K) is at the 98th percentile and 99394 (6.7K claims, $4 avg, $26.7K) is at the 96th percentile. This suggests a meaningful focus on preventive visits and pediatric well-care consistent with community health center missions.

Immunization, public-health, and remote-care codes are also prominent relative to peers: 90686 influenza claims total 24.6K ($24.6K revenue, 99th percentile extreme outlier), 90677 pneumococcal shows 4.1K claims ($24.4K, 99th percentile extreme outlier), 90651 HPV has 5.9K claims ($47K, 99th percentile extreme outlier), and G0071 telehealth/remote-evaluation has 7.5K claims ($37.6K, rank #3 of 313, 99th percentile, extreme outlier). These volumes imply significant vaccine and remote-service throughput that complements the center’s core primary care census.

From a risk and strategy perspective, absence of Medicare revenue combined with the heavy revenue concentration (98.5% from three codes) means Medicaid policy, rate changes, or code-specific program modifications would materially affect cash flow. The mix of high-volume, low-paid E/M and strong preventive/vaccine activity is typical for an FQHC but signals limited payer diversification and sensitivity to state Medicaid payment policy and encounter-bundle definitions.

Medicaid: Complete Services Breakdown

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

195 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	221,040	$410	$90.8M
00003	N/A	64,900	$520	$33.8M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	9,610	$110	$1.1M
G9012	Other specified case management service not elsewhere classified	3,540	$150	$516.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	152,490	$1	$305K
G9008	Coordinated care fee, physician coordinated care oversight services	1,290	$220	$284K
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…	52,550	$1	$157.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	21,430	$1	$85.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	15,670	$1	$62.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	14,000	$1	$56K

Showing 1–10 of 195

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 Santa Clara — 15 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

195 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	123	1,550	38,050	$190	$14.1M
00003	N/A	70	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	183	720	1,110	$110	$651.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	596	660	1,490	$30	$417.2K
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…	3,354	4,290	780	$140	$400.1K
G9008	Coordinated care fee, physician coordinated care oversight services	201	490	660	$70	$396.7K
81513	The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and…	22	50	670	$40	$282.6K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	224	900	560	$70	$230.3K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	91	1,030	1,050	$70	$219.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	197	1,140	530	$20	$195.6K

Showing 1–10 of 195

Related Providers

Other providers that share a Tax Identification Number (TIN) with County Of Santa Clara, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Santa Clara	CA	Community/Behavioral Health Agency	$0	$1.7B
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$175.9M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$132.5M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$106.6M
County Of Santa Clara	CA	Emergency Care Clinic/Center	$0	$106M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$102M
County Of Santa Clara	CA	General Acute Care Hospital	$0	$94.7M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$70.5M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$65.3M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$53.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tung Nguyen	CA	Family Medicine Physician	$598.6K	$0
Truc Pham	CA	Rehabilitation Chiropractor	$179.1K	$0

County Of Santa Clara — Billing Profile & Reimbursement Data

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County Of Santa Clara — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References