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.

City & County Of San Francisco (NPI 1417099789)

Field	Value
Entity Type	Organization
Organization	City & County Of San Francisco
Address	1380 Howard St.
City	San Francisco
State	CA
ZIP	94103
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 13, 2007

Payer Source	Total Paid
Medicaid	$1.3B
Medicare	$0

Key Findings

This entity is effectively a single‑payer Medicaid provider: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $1.34B, indicating that Medicaid accounts for virtually all billed revenue on file. The concentration on Medicaid should shape any assessment of market exposure, contracting leverage, and regulatory oversight focus.

Revenue is heavily concentrated in a small set of service codes: the precomputed top three Medicaid codes (H2015, S9484, H0034) together account for 49.1% of the provider's total Medicaid revenue. Those three codes individually are H2015 $369.5M (27.6%), S9484 $145.1M (10.9%), and H0034 $141.7M (10.6%), which creates material sensitivity to rate, coverage, or policy changes that affect time‑based community and medication support services.

The code mix points to a large, integrated community behavioral health operation: dominant revenue drivers are time‑based community support and psychosocial/rehabilitation services (H2015, H2017, H2010), crisis intervention (S9484, H2011), medication training/support (H0034, H2010), and targeted case management (T1017). This blend of codes—many billed in 15‑minute units—indicates high-volume outpatient and community‑based care delivery with significant care coordination and medication management capacity.

On competitive standing, the provider is a major statewide player for several behavioral health services. H0034 is flagged as an extreme outlier (rank #2 of 279, 100th percentile), and psychotherapy/evaluation codes such as 90837 (rank #20 of 4285, 100th percentile) and 90834 (99th percentile; extreme outlier) are also far above typical state volume, signaling dominance in medication training/support and high psychotherapy throughput relative to peers. H2015, while large in dollar terms, is described as a typical, unremarkable volume for that code despite ranking #9 of 581 (99th percentile), showing the provider competes at scale across multiple program areas.

Operationally, the provider runs very large‑scale addiction treatment services: H0020 (methadone administration) shows 3.1M claims and $45.8M revenue (3.4% of Medicaid revenue) and ranks #3 of 91 providers in‑state (98th percentile; notably above typical state volume). The sheer claim count for H0020 indicates an extensive medication‑assisted treatment footprint that likely requires specialized dispensing, billing workflows, and regulatory compliance resources.

Care coordination and rehabilitation are also core activities: T1017 (Targeted case management) generated 436.1K claims and $133.9M (10.0% of Medicaid revenue) and ranks #7 of 628 providers (99th percentile), while H2017 (psychosocial rehabilitation) produced 316.2K claims and $120.2M (9.0% of Medicaid revenue) and ranks #8 of 481 providers (99th percentile). Together these volumes underscore sustained investment in long‑term, time‑intensive community services rather than brief, episodic care.

Multiple distinct codes are statistical outliers in state comparison, signaling unusually high clinical volume in specific service lines: H0034 is an extreme outlier, and several psychotherapy and evaluation codes (90837, 90834, 90791) are also flagged as extreme outliers or far above typical state volume. These outlier designations suggest the provider captures referral and treatment volumes that most peers do not, which has implications for capacity planning, workforce, and payer negotiations.

The provider has established tenure in the dataset: NPI enumerated on 2007-02-13 (~19 years ago). Combined with the $1.34B lifetime Medicaid revenue and repeated top‑percentile ranks, the long enrollment period supports a picture of an entrenched, large public behavioral health provider with concentrated Medicaid exposure and programmatic scale across crisis, case management, medication support, and psychosocial rehabilitation services.

Medicaid: Complete Services Breakdown

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

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	741,920	$500	$369.5M
S9484	Crisis intervention mental health services, per hour	44,270	$3,280	$145.1M
H0034	Medication training and support, per 15 minutes	411,960	$340	$141.7M
T1017	Targeted case management, each 15 minutes	436,130	$310	$133.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	316,220	$380	$120.2M
H2010	Comprehensive medication services, per 15 minutes	173,140	$640	$111M
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	281,320	$270	$74.6M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	3,053,660	$20	$45.8M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	67,020	$490	$32.7M
H0032	Mental health service plan development by non-physician	77,790	$380	$29.2M

Showing 1–10 of 61

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

City & County Of San Francisco — 14 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

61 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9484	Crisis intervention mental health services, per hour	6	50	3,850	$1,830	$28.8M
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	5	60	28,240	$200	$26.1M
H2015	Comprehensive community support services, per 15 minutes	9	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	5	40	12,180	$520	$13.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	3	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	9	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	8	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	11	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	7	630	2,240	$180	$4.2M
H0012	Behavioral health day treatment, per hour	6	30	4,680	$270	$3.5M

Showing 1–10 of 61

Related Providers

Other providers that share a Tax Identification Number (TIN) with City & County Of San Francisco, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City & County Of San Francisco	CA	Ambulance	$6.5M	$76.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Invitae Corporation	CA	Clinical Medical Laboratory	$71.4M	$136.7M
Irhythm Technologies, Inc.	CA	Physiological Laboratory	$94M	$19.2M
Healthright 360	CA	Federally Qualified Health Center (FQHC)	$0	$40.9M
Medi-lynx Cardiac Monitoring, LLC	CA	Physiological Laboratory	$3.6M	$209.7K
David Kornguth	CA	Radiation Oncology Physician	$2.6M	$0
Rhythmscience Inc.	CA	Physiological Laboratory	$63.4K	$650
Jadine Cehand	CA	Registered Nurse	$12.2K	$0

City & County Of San Francisco — Billing Profile & Reimbursement Data

Sign up for City & County Of San Francisco — Billing Profile & Reimbursement Data policy alerts

City & County Of San Francisco — Billing Profile & Reimbursement Data

Sign up for City & County Of San Francisco — Billing Profile & Reimbursement Data policy alerts

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