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    OpenPayerNPI Medicare & MedicaidContra Costa County
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    Contra Costa County — Billing Profile & Reimbursement Data

    NPI 1427138726 · Martinez, CA · General Acute Care Hospital

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    Contra Costa County is a general acute care hospital provider located in Martinez, California. This profile covers 0 Medicare and 64 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
    OrganizationContra Costa County
    Address2500 Alhambra Avenue
    CityMartinez
    StateCA
    ZIP94553
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedOctober 17, 2006

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

    Payer SourceTotal Paid
    Medicaid$536.2M
    Medicare$0

    Key Findings

    CONTRA COSTA COUNTY is effectively a single-payer Medicaid provider: Total Medicaid revenue is $536.2M and there is no Medicare billing on file. The absence of Medicare revenue indicates the organization’s operations and revenue base are concentrated entirely in Medicaid-covered services rather than Medicare-covered acute care or physician services.

    Revenue is highly concentrated in a small set of behavioral-health codes: the top three Medicaid codes (H2015, H2017, T1017) together account for 53.1% of the provider’s total Medicaid revenue. The single largest code is H2015 with $150.6M (29.1% of Medicaid revenue), followed by H2017 at $74.5M (14.4%) and T1017 at $49.5M (9.6%); this concentration signals reliance on a narrow set of community- and rehab-oriented service lines.

    The code mix indicates the provider operates primarily as a behavioral health and substance-use services organization rather than a general acute-care hospital in Medicare terms: high-revenue codes include community support services (H2015), psychosocial rehabilitation (H2017), targeted case management (T1017), long- and short-term residential care (H0019, H0018), and medication services including methadone administration (H0020). Taken together, the catalog of high-revenue codes suggests a system focused on community-based behavioral health, residential treatment, therapy sessions, and ongoing medication management.

    For its principal community-behavioral codes, the provider is a top-tier statewide participant: H2015 ranks #10 of 581 providers in-state (98th percentile), H2017 ranks #13 of 481 (98th percentile), and T1017 ranks #11 of 628 (98th percentile). These ranks place the provider in the top decile for those service lines statewide, indicating it is a major regional supplier of Medicaid-funded community behavioral-health services.

    Psychotherapy and prolonged outpatient E/M usage is unusually large relative to peers: 90837 generates $20.7M (4.0% of Medicaid revenue) and ranks #22 of 4285 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), while G2212 ($10.6M, 2.0%) ranks #6 of 338 (99th percentile; notably above typical state volume). This pattern shows an atypically high volume of long psychotherapy sessions and prolonged outpatient evaluation services compared with other in-state providers.

    The provider maintains a mix that includes residential and detoxification capacity: H0019 (long-term residential) produced $35.6M (6.9% of Medicaid revenue) and ranks #12 of 59 in-state (81th percentile), H0018 (short-term residential) produced $17.3M (3.3%) and ranks #10 of 41 (78th percentile), and H0012 (sub-acute detox) produced $3M (0.6%) and ranks #14 of 30 (55th percentile). These figures confirm operational capability across both long- and short-term residential treatment and some detox services, though residential program volumes are more modest in statewide ranking versus community supports.

    The provider runs a very high-frequency, low-unit-price opioid-treatment activity: H0020 shows 1.3M claims at $15 avg paid/claim totaling $19.6M (3.8% of Medicaid revenue) and ranks #12 of 91 providers in-state (88th percentile). The large claim count with a low per-claim reimbursement is consistent with methadone administration or daily medication-dispensing models commonly used by opioid treatment programs.

    CONTRA COSTA COUNTY has a sustained presence in the market: NPI enumerated 2006-10-17 (~20 years ago), indicating long tenure. Combined with top-decile rankings on multiple community-behavioral codes and several statistical outliers in psychotherapy and prolonged E/M, the data portray an established county behavioral-health system with deep Medicaid exposure and limited to no engagement with Medicare billing.

    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.

    64 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2015Comprehensive community support services, per 15 minutes660,640$230$150.6M
    H2017Psychosocial rehabilitation services, per 15 minutes231,440$320$74.5M
    T1017Targeted case management, each 15 minutes213,300$230$49.5M
    H0019Behavioral 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 diem123,190$290$35.6M
    H2019Therapeutic behavioral services, per 15 minutes64,410$410$26.2M
    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…54,690$380$20.7M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)1,305,960$20$19.6M
    S9484Crisis intervention mental health services, per hour10,750$1,780$19.1M
    H0032Mental health service plan development by non-physician64,060$290$18.6M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem38,280$450$17.3M

    Showing 1–10 of 64

    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

    64 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9484Crisis intervention mental health services, per hour16503,850$1,830$28.8M
    H0019Behavioral 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 diem126028,240$200$26.1M
    H2015Comprehensive community support services, per 15 minutes105804,730$250$14.4M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem104012,180$520$13.8M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)129025,310$20$9.5M
    H2010Comprehensive medication services, per 15 minutes594405,400$270$7.3M
    H2017Psychosocial rehabilitation services, per 15 minutes134802,310$220$6.3M
    H0004Behavioral health counseling and therapy, per 15 minutes192003,070$120$4.5M
    T1017Targeted case management, each 15 minutes116302,240$180$4.2M
    H0012Behavioral health day treatment, per hour14304,680$270$3.5M

    Showing 1–10 of 64

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Contra Costa CountyCAFederally Qualified Health Center (FQHC)$0$100.6M
    Contra Costa CountyCAFederally Qualified Health Center (FQHC)$0$90.7M
    Contra Costa CountyCAEmergency Care Clinic/Center$0$64.1M
    Contra Costa CountyCAState or Local Public Health Clinic/Center$0$30.2M
    Erica BensonCAFoot & Ankle Surgery Podiatrist$136.2K$0
    Jaison JamesCAOrthopaedic Surgery Physician$47.6K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    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
    Contra Costa County — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California